| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,793.00 | $7,802.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $12,031.62 | |
Hometown Health
| Professional | $28.00 | $1,549.30 | $2,085.60 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |