| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,706.00 | $4,473.00 | |
Anthem BCBS
| Facility | $20,080.00 | $20,080.00 | $25,100.00 | |
Hometown Health
| Professional | $6.42 | $318.76 | $1,915.37 | |
United
| Facility | $2,818.00 | $5,468.00 | $21,228.00 |