| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,884.03 | $5,011.87 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $7.94 | $933.25 | $1,348.96 | |
Hometown Health
| Facility | $933.25 | $933.25 | $933.25 | |
United
| Facility | $724.44 | $1,995.26 | $6,456.54 |