| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.02 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Hometown Health
| Professional | $1.23 | $251.20 | $478.64 | |
Hometown Health
| Facility | $441.01 | $441.01 | $441.01 | |
United
| Facility | $200.00 | $1,277.00 | $2,116.00 |