| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,089.30 | $10,232.93 | |
Anthem BCBS
| Facility | $11,748.98 | $17,378.01 | $22,908.68 | |
Hometown Health
| Professional | $5.50 | $346.74 | $12,022.64 | |
United
| Facility | $3,715.35 | $5,754.40 | $51,286.14 |