| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $909.16 | $4,396.00 | $10,300.00 | |
Aetna
| Facility | 52 | $454.58 | $454.58 | $454.58 |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $8,352.37 | |
Hometown Health
| Professional | $13.28 | $896.43 | $1,316.03 | |
United
| Facility | $777.00 | $2,606.00 | $6,471.00 |