| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $2,754.23 | $5,888.44 | |
Anthem BCBS
| Facility | $3,388.44 | $4,073.80 | $5,888.44 | |
Hometown Health
| Professional | $239.88 | $371.54 | $2,691.53 | |
Hometown Health
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
United
| Facility | $1,288.25 | $2,344.23 | $7,244.36 |