| 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 | $3,072.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $10.58 | $483.69 | $1,101.33 | |
Hometown Health
| Facility | $881.06 | $1,905.85 | $1,905.85 | |
United
| Facility | $1,282.00 | $2,947.00 | $7,221.00 |