| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,089.30 | $5,011.87 | |
Anthem BCBS
| Facility | $1,513.56 | $3,467.37 | $6,760.83 | |
Hometown Health
| Professional | $0.78 | $70.79 | $100.00 | |
United
| Facility | $199.53 | $1,288.25 | $10,000.00 |