| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,884.03 | $5,888.44 | |
Anthem BCBS
| Facility | $5,370.32 | $9,332.54 | $10,964.78 | |
Hometown Health
| Professional | $316.23 | $467.74 | $7,943.28 | |
Hometown Health
| Facility | $5,370.32 | $5,370.32 | $5,370.32 | |
United
| Facility | $2,290.87 | $4,168.69 | $10,715.19 |