| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.45 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $4.41 | $438.69 | $1,183.18 | |
Hometown Health
| Facility | $2,021.63 | $2,021.63 | $2,021.63 | |
United
| Facility | $721.00 | $2,200.00 | $6,244.00 |