| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $1.68 | $268.79 | $1,002.60 | |
Hometown Health
| Facility | $1,768.74 | $1,768.74 | $1,768.74 | |
United
| Facility | $721.00 | $2,200.00 | $6,244.00 |