| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,959.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $15.88 | $1,010.81 | $2,840.08 | |
Hometown Health
| Facility | $2,184.67 | $4,022.08 | $4,022.08 | |
United
| Facility | $1,642.00 | $3,060.00 | $44,527.00 |