| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.13 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Hometown Health
| Professional | $61.82 | $258.18 | $482.13 | |
Hometown Health
| Facility | $359.81 | $683.29 | $683.29 | |
United
| Facility | $408.00 | $1,917.00 | $4,661.00 |