| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $4,773.00 | $7,044.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $26,840.19 | |
Hometown Health
| Professional | $11.55 | $907.71 | $18,032.20 | |
Hometown Health
| Facility | $13,870.92 | $13,870.92 | $13,870.92 | |
United
| Facility | $3,163.00 | $6,491.00 | $14,434.00 |