| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $4,570.88 | $7,585.78 | |
Aetna
| Facility | 50 | $5,128.61 | $5,128.61 | $5,128.61 |
Anthem BCBS
| Facility | $6,309.57 | $11,748.98 | $13,803.84 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |