| 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 | $3,877.00 | $5,379.00 | $11,683.30 | |
Hometown Health
| Professional | $9.11 | $826.71 | $1,210.19 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |