| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $8,162.81 | |
Hometown Health
| Professional | $14.40 | $957.44 | $1,396.27 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |