| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $4,466.84 | $10,232.93 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $645.65 | $1,096.48 | $2,570.40 | |
Hometown Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
United
| Facility | $1,659.59 | $3,090.30 | $9,120.11 |