| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $7,413.10 | $12,022.64 | $14,454.40 | |
Hometown Health
| Professional | $21.88 | $1,737.80 | $2,511.89 | |
United
| Facility | $724.44 | $1,995.26 | $6,309.57 |