| 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 | $8,479.00 | $16,117.00 | $23,909.00 | |
Hometown Health
| Professional | $14.82 | $1,190.68 | $23,584.88 | |
Hometown Health
| Facility | $18,867.90 | $22,245.68 | $22,245.68 | |
United
| Facility | $200.00 | $1,427.00 | $25,275.00 |