| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $9.60 | $1,033.54 | $1,889.33 | |
Hometown Health
| Facility | $3,585.88 | $3,585.88 | $3,585.88 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |