| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,793.00 | $7,802.00 | |
Anthem BCBS
| Facility | $3,877.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $42.00 | $1,473.24 | $3,239.41 | |
Hometown Health
| Facility | $5,702.41 | $5,702.41 | $5,702.41 | |
United
| Facility | $2,042.00 | $4,145.00 | $10,407.00 |