| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.00 | $3,042.00 | $6,953.00 | |
Aetna
| Facility | 52 | $579.88 | $579.88 | $579.88 |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $8,352.37 | |
Hometown Health
| Professional | $13.04 | $1,124.89 | $1,575.94 | |
United
| Facility | $1,248.00 | $4,794.00 | $11,445.00 |