| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $1,862.09 | $5,011.87 | |
Anthem BCBS
| Facility | $3,715.35 | $6,025.60 | $7,762.47 | |
Hometown Health
| Professional | $281.84 | $467.74 | $2,089.30 | |
Hometown Health
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
United
| Facility | $724.44 | $1,995.26 | $6,309.57 |