| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,677.35 | $8,128.31 | $11,748.98 | |
Hometown Health
| Professional | $15.14 | $2,089.30 | $2,951.21 | |
United
| Facility | $776.25 | $1,905.46 | $6,606.93 |