| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,793.00 | $7,802.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $14,000.83 | |
Hometown Health
| Professional | $27.84 | $1,741.82 | $2,540.16 | |
United
| Facility | $1,282.00 | $2,947.00 | $7,221.00 |