| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $8,479.00 | $10,250.00 | $16,117.00 | |
Hometown Health
| Professional | $4.05 | $260.52 | $18,132.96 | |
Hometown Health
| Facility | $14,506.37 | $65,362.92 | $65,362.92 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |