| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,861.00 | $4,759.30 | $9,658.45 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $630.00 | $3,647.00 | $6,021.00 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |