| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,655.00 | $3,459.00 | $5,132.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $22.31 | $1,162.84 | $2,996.26 | |
Hometown Health
| Facility | $2,397.01 | $5,455.67 | $5,455.67 | |
United
| Facility | $1,642.00 | $3,000.00 | $9,042.00 |