| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $6,165.95 | $10,715.19 | |
Aetna
| Facility | 50 | $2,630.27 | $7,762.47 | $11,748.98 |
Horizon BCBS
| Facility | $18,620.87 | $30,902.95 | $43,651.58 | |
United
| Facility | $4,786.30 | $10,000.00 | $25,118.86 |