| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $5,370.32 | $15,848.93 | |
Aetna
| Facility | 50 | $3,019.95 | $9,772.37 | $19,952.62 |
Anthem BCBS
| Facility | $8,128.31 | $16,218.10 | $19,952.62 | |
United
| Facility | $6,456.54 | $10,471.29 | $16,218.10 |