| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,200.80 | $5,297.00 | $10,565.00 | |
Aetna
| Facility | 50 | $3,047.94 | $4,987.00 | $19,099.80 |
Anthem BCBS
| Facility | $7,483.00 | $12,657.00 | $17,933.32 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |