| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $8.82 | $630.94 | $2,268.61 | |
Hometown Health
| Facility | $1,814.89 | $3,513.95 | $3,513.95 | |
United
| Facility | $1,282.00 | $2,940.00 | $7,138.00 |