| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.42 | $1,639.00 | $4,473.00 | |
Anthem BCBS
| Facility | $510.00 | $510.00 | $975.00 | |
Hometown Health
| Professional | $2.43 | $201.97 | $682.59 | |
United
| Facility | $200.00 | $1,277.00 | $1,998.00 |