| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,084.60 | $8,031.00 | $19,553.00 | |
Aetna
| Facility | 50 | $3,531.00 | $18,360.00 | $36,030.15 |
Anthem BCBS
| Facility | $9,078.00 | $14,635.00 | $18,294.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |