| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,238.72 | $5,011.87 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $776.25 | $1,096.48 | $4,168.69 | |
Hometown Health
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
United
| Facility | $891.25 | $2,344.23 | $7,413.10 |