| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.74 | $2,706.00 | $9,125.00 | |
Aetna
| Facility | 54 | $293.06 | $320.72 | $410.90 |
Horizon BCBS
| Facility | $3,565.92 | $3,890.91 | $7,420.39 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |