| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,455.50 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $630.00 | $630.00 | $630.00 | |
Hometown Health
| Professional | $8.86 | $178.22 | $271.44 | |
United
| Facility | $200.00 | $1,277.00 | $1,975.00 |