| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.23 | $1,706.00 | $4,473.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Hometown Health
| Professional | $49.94 | $91.43 | $359.81 | |
Hometown Health
| Facility | $359.81 | $683.29 | $683.29 | |
United
| Facility | $408.00 | $1,925.00 | $4,715.00 |