| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $4,365.16 | $10,471.29 | |
Anthem BCBS
| Facility | $5,370.32 | $9,332.54 | $10,964.78 | |
Hometown Health
| Professional | $295.12 | $3,162.28 | $4,570.88 | |
Hometown Health
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
United
| Facility | $2,951.21 | $4,677.35 | $12,022.64 |