| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $7,526.00 | $9,098.00 | $15,073.00 | |
Hometown Health
| Professional | $20.37 | $1,585.16 | $3,717.61 | |
Hometown Health
| Facility | $2,974.09 | $7,207.39 | $7,207.39 | |
United
| Facility | $1,282.00 | $2,940.00 | $7,138.00 |