| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.87 | $3,985.00 | $9,383.00 | |
Aetna
| Facility | 50 | $2,794.20 | $2,873.50 | $9,060.92 |
Horizon BCBS
| Facility | $5,615.29 | $6,958.22 | $14,131.76 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |