| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,862.09 | $5,011.87 | |
Anthem BCBS
| Facility | $1,513.56 | $3,467.37 | $4,466.84 | |
Hometown Health
| Professional | $58.88 | $107.15 | $416.87 | |
Hometown Health
| Facility | $363.08 | $363.08 | $363.08 | |
United
| Facility | $407.38 | $1,905.46 | $4,786.30 |