| 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 | $5,829.00 | $7,046.00 | $13,100.00 | |
Hometown Health
| Professional | $13.23 | $1,101.15 | $3,199.20 | |
Hometown Health
| Facility | $2,559.36 | $7,650.58 | $7,650.58 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |