| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $630.00 | $630.00 | $630.00 | |
Hometown Health
| Professional | $42.08 | $179.95 | $362.96 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 |