| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.63 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Hometown Health
| Professional | $1.84 | $118.15 | $580.30 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |