| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.97 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $13.23 | $890.16 | $6,520.76 | |
Hometown Health
| Facility | $5,216.60 | $10,219.77 | $10,219.77 | |
United
| Facility | $1,282.00 | $2,947.00 | $7,221.00 |