| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $11,683.30 | |
Hometown Health
| Professional | $12.32 | $1,010.34 | $1,473.41 | |
United
| Facility | $1,282.00 | $3,000.00 | $7,221.00 |