| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,448.58 | $4,396.00 | $10,300.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $17.44 | $1,546.19 | $3,791.22 | |
Hometown Health
| Facility | $3,159.35 | $6,537.87 | $6,537.87 | |
United
| Facility | $1,248.00 | $3,569.00 | $10,407.00 |