| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $12,793.89 | |
Hometown Health
| Professional | $16.76 | $1,127.15 | $5,702.65 | |
Hometown Health
| Facility | $4,386.64 | $4,386.64 | $4,386.64 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |