| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,316.24 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,197.99 | $3,921.00 | $5,930.00 | |
Hometown Health
| Professional | $14.08 | $1,266.63 | $1,779.05 | |
United
| Facility | $776.00 | $2,578.00 | $6,471.00 |