| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,492.98 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $11,683.30 | |
Hometown Health
| Professional | $20.80 | $1,473.68 | $2,295.92 | |
United
| Facility | $3,163.00 | $6,370.00 | $14,434.00 |