| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $6,918.31 | $19,952.62 | |
Aetna
| Facility | 50 | $2,238.72 | $6,025.60 | $29,512.09 |
Anthem BCBS
| Facility | $8,912.51 | $19,054.61 | $31,622.78 | |
United
| Facility | $7,244.36 | $11,220.18 | $18,620.87 |