| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.13 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $135.00 | $303.89 | $1,236.07 | |
Hometown Health
| Facility | $3,900.25 | $3,900.25 | $3,900.25 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |