| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.00 | $2,173.00 | $4,730.00 | |
Anthem BCBS
| Facility | $3,474.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $673.21 | $1,119.65 | $4,121.74 | |
Hometown Health
| Facility | $2,944.10 | $6,578.93 | $6,578.93 | |
United
| Facility | $888.00 | $2,940.00 | $7,221.00 |