| 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 | $415.47 | $415.47 | $415.47 |
Anthem BCBS
| Facility | $3,474.00 | $5,123.00 | $8,352.37 | |
Hometown Health
| Professional | $10.40 | $819.08 | $1,170.00 | |
United
| Facility | $1,097.00 | $3,000.00 | $9,042.00 |