| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $1,862.09 | $5,011.87 | |
Anthem BCBS
| Facility | $3,388.44 | $4,073.80 | $5,888.44 | |
Hometown Health
| Professional | $165.96 | $954.99 | $1,445.44 | |
Hometown Health
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
United
| Facility | $407.38 | $1,905.46 | $4,786.30 |