| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,454.71 | $10,232.93 | |
Anthem BCBS
| Facility | $3,388.44 | $4,073.80 | $5,888.44 | |
Hometown Health
| Professional | $309.03 | $512.86 | $1,778.28 | |
Hometown Health
| Facility | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Facility | $724.44 | $1,995.26 | $6,309.57 |