| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.00 | $2,173.00 | $4,841.00 | |
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $14,510.00 | |
Hometown Health
| Professional | $10.56 | $1,069.38 | $5,378.18 | |
Hometown Health
| Facility | $7,895.11 | $7,895.11 | $7,895.11 | |
United
| Facility | $2,818.00 | $4,776.00 | $11,845.00 |