| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $994.50 | $2,173.00 | $4,730.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $190.00 | $509.71 | $2,994.98 | |
Hometown Health
| Facility | $5,974.27 | $5,974.27 | $5,974.27 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |