| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Hometown Health
| Professional | $100.31 | $225.79 | $942.27 | |
Hometown Health
| Facility | $737.67 | $737.67 | $737.67 | |
United
| Facility | $408.00 | $1,925.00 | $4,715.00 |