| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.97 | $75.97 | $76.84 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $0.96 | $85.48 | $119.67 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 |