| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,677.35 | $8,128.31 | $10,232.93 | |
Hometown Health
| Professional | $33.88 | $2,290.87 | $3,548.13 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |