| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $17.20 | $1,259.68 | $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 |