| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $6,685.00 | $11,842.00 | |
Anthem BCBS
| Facility | $1,380.00 | $2,005.00 | $4,315.00 | |
Hometown Health
| Facility | $1,892.97 | $6,341.59 | $125,664.05 | |
United
| Facility | $925.00 | $1,200.00 | $3,488.00 |