| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Hometown Health
| Professional | $19.93 | $25.91 | $35.86 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Facility | $200.00 | $1,277.00 | $1,998.00 |