| 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 | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $22.05 | $1,220.75 | $3,949.19 | |
Hometown Health
| Facility | $3,159.35 | $6,537.87 | $6,537.87 | |
United
| Facility | $1,282.00 | $2,940.00 | $7,138.00 |