| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.67 | $2,297.00 | $8,084.00 | |
Aetna
| Facility | 54 | $354.50 | $388.36 | $486.75 |
Horizon BCBS
| Facility | $3,243.64 | $3,747.41 | $7,420.39 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |