| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,011.87 | $8,912.51 | |
Anthem BCBS
| Facility | $4,570.88 | $8,128.31 | $8,128.31 | |
Hometown Health
| Professional | $1,047.13 | $1,548.82 | $4,786.30 | |
Hometown Health
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
United
| Facility | $2,290.87 | $3,548.13 | $10,715.19 |