| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.10 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $7,802.00 | |
Hometown Health
| Professional | $14.55 | $1,500.94 | $4,326.72 | |
Hometown Health
| Facility | $3,328.25 | $3,328.25 | $3,328.25 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |