| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,522.00 | $8,031.00 | $12,505.00 | |
Aetna
| Facility | 50 | $10,239.82 | $10,239.82 | $13,853.08 |
Anthem BCBS
| Facility | $7,073.34 | $9,869.00 | $15,270.00 | |
United
| Facility | $7,272.00 | $10,653.00 | $16,323.00 |