| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $4,793.00 | $7,802.00 | |
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $27.52 | $1,559.55 | $3,949.19 | |
Hometown Health
| Facility | $3,159.35 | $6,537.87 | $6,537.87 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |