| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,418.00 | $1,639.00 | $4,396.00 | |
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $9.26 | $944.30 | $2,268.61 | |
Hometown Health
| Facility | $1,814.89 | $3,513.95 | $3,513.95 | |
United
| Facility | $1,282.00 | $3,000.00 | $7,138.00 |