| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $11.75 | $812.83 | $1,202.26 | |
United
| Facility | $776.25 | $1,905.46 | $6,606.93 |