| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,715.00 | $5,192.00 | $10,692.00 | |
Aetna
| Professional | $263.52 | $340.51 | $374.47 | |
Horizon BCBS
| Professional | $258.26 | $363.73 | $522.74 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $252.50 | $367.74 | $606.78 |