| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $983.68 | $4,396.00 | $10,300.00 | |
Aetna
| Facility | 52 | $398.35 | $398.35 | $491.84 |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $12,031.62 | |
Hometown Health
| Professional | $7.68 | $801.21 | $1,176.24 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |