| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,228.98 | $8,506.39 | $18,579.71 | |
Aetna
| Facility | 50 | $2,826.37 | $7,488.00 | $25,910.54 |
Anthem BCBS
| Facility | $10,018.00 | $16,131.00 | $32,275.00 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |