| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,900.93 | $3,959.00 | $10,300.00 | |
Aetna
| Facility | 52 | $950.47 | $950.47 | $950.47 |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $8,352.37 | |
Hometown Health
| Professional | $15.04 | $1,834.97 | $2,553.01 | |
United
| Facility | $776.00 | $2,578.00 | $6,471.00 |