| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $14.79 | $1,584.89 | $2,290.87 | |
United
| Facility | $776.25 | $1,905.46 | $6,606.93 |