| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,157.87 | $7,088.65 | $9,479.00 | |
Aetna
| Facility | 50 | $11,394.58 | $11,394.58 | $12,194.16 |
Anthem BCBS
| Facility | $7,328.00 | $8,931.00 | $11,908.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |