| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $16,907.36 | |
Hometown Health
| Professional | $0.88 | $93.39 | $134.26 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |