| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,939.00 | $5,132.00 | |
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $15.20 | $1,305.99 | $4,495.43 | |
Hometown Health
| Facility | $6,537.87 | $6,537.87 | $6,537.87 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |