| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.15 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $15.88 | $1,620.00 | $2,330.87 | |
Hometown Health
| Facility | $1,814.89 | $3,513.95 | $3,513.95 | |
United
| Facility | $1,282.00 | $2,940.00 | $7,138.00 |