| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $3,520.23 | $3,520.23 | $3,520.23 | |
Anthem BCBS
| Facility | $6,093.00 | $8,455.00 | $14,510.00 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |