| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.00 | $819.50 | $3,959.00 | |
Aetna
| Facility | 50 | $392.00 | $409.75 | $19,260.31 |
Anthem BCBS
| Facility | $446.00 | $446.00 | $446.00 | |
Hometown Health
| Professional | $3.60 | $220.47 | $337.32 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |