| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $4,365.16 | $10,232.93 | |
Anthem BCBS
| Facility | $3,388.44 | $4,073.80 | $5,888.44 | |
Hometown Health
| Professional | $691.83 | $1,071.52 | $2,570.40 | |
Hometown Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
United
| Facility | $407.38 | $1,584.89 | $4,786.30 |