| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $3,981.07 | $6,918.31 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $416.87 | $707.95 | $1,905.46 | |
Hometown Health
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
United
| Facility | $1,288.25 | $2,344.23 | $7,244.36 |