| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $3,981.07 | $7,762.47 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $12.88 | $1,071.52 | $1,548.82 | |
United
| Facility | $776.25 | $1,905.46 | $6,606.93 |