| 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 | $14.00 | $1,036.26 | $1,545.06 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |