| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.85 | $788.85 | $838.15 | |
Anthem BCBS
| Facility | $3,214.00 | $4,740.00 | $7,525.11 | |
Hometown Health
| Professional | $11.60 | $990.88 | $1,391.74 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |