| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,454.71 | $5,011.87 | |
Anthem BCBS
| Facility | $7,413.10 | $12,022.64 | $14,454.40 | |
Hometown Health
| Professional | $10.47 | $1,071.52 | $5,888.44 | |
United
| Facility | $2,951.21 | $4,677.35 | $12,022.64 |