| 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 | $8.82 | $812.18 | $4,326.72 | |
Hometown Health
| Facility | $3,328.25 | $3,328.25 | $3,328.25 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |