| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.12 | $2,286.00 | $9,125.00 | |
Aetna
| Facility | 54 | $64.59 | $80.54 | $111.08 |
Horizon BCBS
| Facility | $583.20 | $1,112.21 | $1,184.44 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |