| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $7,413.10 | $12,022.64 | $14,454.40 | |
Hometown Health
| Professional | $6.92 | $1,659.59 | $2,398.83 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |