| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,793.00 | $7,802.00 | |
Anthem BCBS
| Facility | $3,671.00 | $5,123.00 | $11,683.30 | |
Hometown Health
| Professional | $13.23 | $797.02 | $2,996.26 | |
Hometown Health
| Facility | $2,397.01 | $2,397.01 | $2,397.01 | |
United
| Facility | $1,282.00 | $2,947.00 | $7,221.00 |