| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.73 | $1,242.30 | $1,602.23 | |
Hometown Health
| Professional | $1.09 | $293.86 | $595.47 | |
Hometown Health
| Facility | $344.15 | $344.15 | $344.15 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |