| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112,201.85 | $112,201.85 | $112,201.85 | |
Anthem BCBS
| Facility | $144,543.98 | $190,546.07 | $281,838.29 | |
Hometown Health
| Facility | $95,499.26 | $95,499.26 | $154,881.66 | |
United
| Facility | $186,208.71 | $186,208.71 | $331,131.12 |