| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,459.00 | $7,674.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $20.37 | $1,111.66 | $4,326.72 | |
Hometown Health
| Facility | $3,328.25 | $5,974.27 | $5,974.27 | |
United
| Facility | $2,818.00 | $4,776.00 | $11,845.00 |