| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112,432.00 | $112,432.00 | $112,432.00 | |
Anthem BCBS
| Facility | $120,588.57 | $169,471.96 | $211,831.69 | |
Hometown Health
| Facility | $95,925.85 | $139,361.60 | $153,348.85 | |
United
| Facility | $333,098.26 | $333,098.26 | $333,098.26 |