| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $10.23 | $1,380.38 | $2,041.74 | |
United
| Facility | $776.25 | $1,905.46 | $6,606.93 |