| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,011.87 | $7,762.47 | |
Anthem BCBS
| Facility | $5,370.32 | $9,332.54 | $12,022.64 | |
Hometown Health
| Professional | $24.55 | $1,905.46 | $2,754.23 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |