| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.36 | $3,959.00 | $10,300.00 | |
Anthem BCBS
| Facility | $4,886.00 | $6,164.00 | $12,455.00 | |
Hometown Health
| Professional | $1.32 | $116.92 | $163.98 | |
United
| Facility | $200.00 | $1,427.00 | $9,500.00 |