| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,173.00 | $4,730.00 | |
Anthem BCBS
| Facility | $446.00 | $446.00 | $832.00 | |
Hometown Health
| Professional | $1.60 | $120.73 | $176.07 | |
United
| Facility | $200.00 | $1,277.00 | $1,998.00 |