| 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 | $6,093.00 | $8,455.00 | $14,510.00 | |
Hometown Health
| Professional | $16.80 | $1,027.85 | $4,244.76 | |
Hometown Health
| Facility | $7,895.11 | $7,895.11 | $7,895.11 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |