| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.00 | $2,472.00 | $4,730.00 | |
Anthem BCBS
| Facility | $995.00 | $995.00 | $995.00 | |
Hometown Health
| Professional | $5.20 | $253.53 | $370.89 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 |