| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,642.00 | $5,471.00 | $10,300.00 | |
Anthem BCBS
| Facility | $7,386.00 | $10,250.00 | $16,117.00 | |
Hometown Health
| Professional | $5.29 | $375.19 | $35,491.04 | |
Hometown Health
| Facility | $27,300.80 | $31,418.42 | $31,418.42 | |
United
| Facility | $7,658.00 | $15,137.00 | $35,572.00 |