| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,072.69 | $6,607.00 | $10,492.00 | |
Aetna
| Facility | 50 | $3,326.50 | $6,593.33 | $17,866.40 |
Anthem BCBS
| Facility | $7,806.00 | $12,098.00 | $19,836.00 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |