| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,583.50 | $6,977.90 | |
Hometown Health
| Professional | $8.46 | $933.46 | $1,361.29 | |
Hometown Health
| Facility | $933.86 | $933.86 | $933.86 | |
United
| Facility | $721.00 | $2,200.00 | $6,317.00 |