| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $4,466.84 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $15.49 | $1,445.44 | $2,089.30 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |