| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,522.00 | $8,031.00 | $18,575.00 | |
Aetna
| Facility | 50 | $2,379.44 | $5,520.00 | $21,663.79 |
Anthem BCBS
| Facility | $8,873.00 | $12,806.00 | $18,294.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |