| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.05 | $55.92 | $156.13 | |
Anthem BCBS
| Facility | $7,620.00 | $10,438.00 | $19,384.00 | |
Hometown Health
| Professional | $0.55 | $34.92 | $176.66 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |