| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.02 | $1,706.00 | $4,473.00 | |
Anthem BCBS
| Facility | $2,779.00 | $3,647.00 | $4,098.00 | |
Hometown Health
| Professional | $75.54 | $170.05 | $379.18 | |
Hometown Health
| Facility | $873.16 | $873.16 | $873.16 | |
United
| Facility | $408.00 | $1,925.00 | $4,715.00 |