| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,730.00 | $9,212.93 | |
Hometown Health
| Professional | $3.83 | $283.51 | $493.52 | |
Hometown Health
| Facility | $379.63 | $723.21 | $723.21 | |
United
| Facility | $408.00 | $1,917.00 | $4,661.00 |