| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,793.00 | $9,265.00 | |
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $35.40 | $1,462.41 | $2,561.73 | |
Hometown Health
| Facility | $4,445.97 | $4,445.97 | $4,445.97 | |
United
| Facility | $2,042.00 | $4,711.00 | $10,407.00 |