| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $605.26 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $8.47 | $613.97 | $2,204.10 | |
Hometown Health
| Facility | $1,695.46 | $3,478.55 | $3,478.55 | |
United
| Facility | $408.00 | $1,917.00 | $4,661.00 |