| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $1,529.00 | $5,484.00 | $9,964.00 | |
Hometown Health
| Professional | $0.88 | $65.40 | $99.00 | |
Hometown Health
| Facility | $441.01 | $441.01 | $441.01 | |
United
| Facility | $200.00 | $1,427.00 | $9,500.00 |