| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $4,570.88 | $7,762.47 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $14.13 | $1,047.13 | $1,621.81 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |