| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,089.30 | $10,232.93 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $512.86 | $794.33 | $2,511.89 | |
Hometown Health
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
United
| Facility | $1,659.59 | $3,090.30 | $9,120.11 |