| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $978.23 | $1,358.65 | $1,989.06 | |
Hometown Health
| Facility | $3,163.08 | $3,163.08 | $3,163.08 | |
United
| Facility | $1,282.00 | $2,947.00 | $7,221.00 |