| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $6.00 | $808.99 | $2,248.98 | |
Hometown Health
| Facility | $1,799.18 | $3,811.73 | $3,811.73 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |