| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.00 | $3,990.00 | $48,000.00 | |
Anthem BCBS
| Facility | $6,556.00 | $9,098.00 | $20,564.00 | |
Hometown Health
| Professional | $25.60 | $1,760.42 | $23,958.55 | |
Hometown Health
| Facility | $20,324.32 | $20,324.32 | $20,324.32 | |
United
| Facility | $3,163.00 | $6,491.00 | $14,434.00 |