| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.14 | $1,508.00 | $4,396.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Hometown Health
| Professional | $1.06 | $277.52 | $539.54 | |
Hometown Health
| Facility | $142.46 | $142.46 | $142.46 | |
United
| Facility | $200.00 | $1,277.00 | $1,998.00 |