| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,183.16 | $4,793.00 | $20,643.00 | |
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $42,498.91 | |
Hometown Health
| Professional | $16.67 | $1,312.26 | $16,657.71 | |
Hometown Health
| Facility | $13,326.17 | $13,326.17 | $13,326.17 | |
United
| Facility | $3,163.00 | $6,491.00 | $14,434.00 |