| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $4,587.00 | $6,224.00 | |
Anthem BCBS
| Facility | $5,088.00 | $6,151.00 | $11,927.44 | |
Hometown Health
| Professional | $15.68 | $1,097.34 | $1,600.31 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |