| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,459.00 | $7,674.00 | |
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $11,683.30 | |
Hometown Health
| Professional | $13.60 | $807.96 | $1,198.89 | |
United
| Facility | $2,042.00 | $4,794.00 | $10,407.00 |