| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $7,802.00 | |
Hometown Health
| Professional | $14.00 | $871.76 | $1,263.52 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |