| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,522.00 | $7,680.06 | $18,575.00 | |
Aetna
| Facility | 50 | $6,725.00 | $11,868.97 | $21,165.56 |
Anthem BCBS
| Facility | $8,873.00 | $12,806.00 | $18,294.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |