| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.08 | $102.08 | $116.37 | |
Anthem BCBS
| Facility | $5,003.00 | $6,322.00 | $9,475.00 | |
Hometown Health
| Professional | $1.37 | $110.79 | $158.83 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |