| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,884.03 | $5,888.44 | |
Anthem BCBS
| Facility | $3,890.45 | $5,248.07 | $7,244.36 | |
Hometown Health
| Professional | $120.23 | $169.82 | $2,570.40 | |
Hometown Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
United
| Facility | $407.38 | $1,905.46 | $10,000.00 |