| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $3,072.00 | $3,921.00 | $5,714.18 | |
Hometown Health
| Professional | $362.97 | $462.72 | $635.20 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |