| 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 | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $7.94 | $963.28 | $2,204.10 | |
Hometown Health
| Facility | $1,695.46 | $3,478.55 | $3,478.55 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |