| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $19,952.62 | |
Aetna
| Facility | 50 | $5,754.40 | $11,748.98 | $21,379.62 |
Anthem BCBS
| Facility | $7,413.10 | $12,882.50 | $19,498.45 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |