| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,059.63 | $2,059.63 | $22,335.10 | |
Anthem BCBS
| Professional | $450.25 | $3,877.68 | $6,721.54 | |
Hometown Health
| Professional | $13.19 | $606.29 | $5,739.90 | |
Hometown Health
| Professional | $6.78 | $346.45 | $5,449.28 | |
United
| Professional | $4,188.60 | $5,676.74 | $7,710.91 |