| 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 | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $4.05 | $199.67 | $1,115.68 | |
Hometown Health
| Facility | $892.54 | $1,811.70 | $1,811.70 | |
United
| Facility | $721.00 | $2,200.00 | $6,244.00 |