| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.29 | $5,695.00 | $11,260.00 | |
Aetna
| Facility | 50 | $255.89 | $7,508.75 | $9,927.00 |
Horizon BCBS
| Facility | $12,794.98 | $14,530.69 | $28,139.74 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |