| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,326.67 | $8,031.00 | $19,099.79 | |
Aetna
| Facility | 50 | $2,826.37 | $8,908.00 | $28,196.43 |
Anthem BCBS
| Facility | $8,084.00 | $15,158.14 | $19,235.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |