| 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 | $4,452.00 | $5,379.00 | $11,683.30 | |
Hometown Health
| Professional | $14.20 | $1,144.14 | $2,996.26 | |
Hometown Health
| Facility | $2,397.01 | $2,397.01 | $2,397.01 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |