| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,280.51 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,218.00 | |
Hometown Health
| Professional | $9.88 | $1,183.38 | $1,699.29 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |