| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,454.71 | $5,011.87 | |
Anthem BCBS
| Facility | $3,235.94 | $3,890.45 | $5,888.44 | |
Hometown Health
| Professional | $8.13 | $676.08 | $1,047.13 | |
United
| Facility | $724.44 | $1,995.26 | $6,309.57 |