| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,677.35 | $8,128.31 | $8,128.31 | |
Hometown Health
| Professional | $4.57 | $173.78 | $229.09 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |