| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Hometown Health
| Professional | $14.29 | $866.54 | $1,287.07 | |
Hometown Health
| Facility | $405.72 | $777.59 | $777.59 | |
United
| Facility | $408.00 | $1,917.00 | $4,661.00 |