| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,173.00 | $5,399.16 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $147.91 | $695.60 | $1,239.74 | |
Hometown Health
| Facility | $774.84 | $1,790.66 | $1,790.66 | |
United
| Facility | $721.00 | $2,200.00 | $6,317.00 |