| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.71 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $5,088.00 | $6,151.00 | $24,640.67 | |
Hometown Health
| Professional | $11.47 | $854.58 | $4,139.60 | |
Hometown Health
| Facility | $3,311.68 | $3,311.68 | $3,311.68 | |
United
| Facility | $2,818.00 | $5,468.00 | $11,845.00 |