| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $5,370.32 | $8,511.38 | |
Anthem BCBS
| Facility | $6,165.95 | $9,332.54 | $13,489.63 | |
Hometown Health
| Professional | $380.19 | $6,165.95 | $9,120.11 | |
Hometown Health
| Facility | $3,715.35 | $3,715.35 | $3,715.35 | |
United
| Facility | $3,715.35 | $5,754.40 | $14,791.08 |