| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,474.77 | $3,959.00 | $10,300.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $14,088.75 | |
Hometown Health
| Professional | $13.77 | $1,499.04 | $2,489.23 | |
Hometown Health
| Facility | $2,074.36 | $2,074.36 | $2,074.36 | |
United
| Facility | $1,097.00 | $3,000.00 | $9,042.00 |