| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,677.35 | $8,128.31 | $11,748.98 | |
Hometown Health
| Professional | $19.50 | $1,380.38 | $2,089.30 | |
United
| Facility | $724.44 | $2,290.87 | $6,456.54 |