| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $6,093.00 | $8,455.00 | $14,510.00 | |
Hometown Health
| Professional | $10.40 | $954.32 | $4,244.76 | |
Hometown Health
| Facility | $7,895.11 | $7,895.11 | $7,895.11 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |