| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.77 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Hometown Health
| Professional | $10.56 | $515.25 | $922.42 | |
Hometown Health
| Facility | $562.80 | $562.80 | $562.80 | |
United
| Facility | $252.00 | $1,427.00 | $1,975.00 |