| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $6,996.00 | $8,455.00 | $14,510.00 | |
Hometown Health
| Professional | $22.40 | $1,566.69 | $4,244.76 | |
Hometown Health
| Facility | $7,895.11 | $7,895.11 | $7,895.11 | |
United
| Facility | $2,818.00 | $4,776.00 | $11,845.00 |