| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $9.60 | $817.25 | $1,889.33 | |
Hometown Health
| Facility | $3,585.88 | $3,585.88 | $3,585.88 | |
United
| Facility | $2,042.00 | $3,472.00 | $10,407.00 |