| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.19 | $5,982.00 | $11,298.00 | |
Horizon BCBS
| Facility | $7,229.42 | $7,888.29 | $17,105.68 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn Prim Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.19 | $5,982.00 | $11,298.00 | |
Horizon BCBS
| Facility | $7,229.42 | $7,888.29 | $17,105.68 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |