| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $808.50 | $1,706.00 | $4,473.00 | |
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Hometown Health
| Professional | $2.00 | $118.48 | $152.19 | |
Hometown Health
| Facility | $441.01 | $441.01 | $441.01 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |