| 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 | $4,432.00 | $6,151.00 | $10,920.00 | |
Hometown Health
| Professional | $6.17 | $379.74 | $3,956.18 | |
Hometown Health
| Facility | $3,164.94 | $6,448.02 | $6,448.02 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |