| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,645.39 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $14,510.00 | |
Hometown Health
| Professional | $13.60 | $1,644.23 | $4,244.76 | |
Hometown Health
| Facility | $7,895.11 | $7,895.11 | $7,895.11 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |