| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,581.75 | $6,343.00 | $9,583.00 | |
Aetna
| Facility | 50 | $7,144.50 | $8,074.51 | $12,194.16 |
Anthem BCBS
| Facility | $8,217.00 | $8,931.00 | $11,908.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |