| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $2,736.00 | $6,685.00 | |
Hometown Health
| Facility | $6,341.59 | $82,033.00 | $141,196.00 |
Loa/Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $2,736.00 | $6,685.00 | |
Hometown Health
| Facility | $6,341.59 | $82,033.00 | $141,196.00 |