| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.49 | $6,064.00 | $10,871.00 | |
Horizon BCBS
| Facility | $10,605.89 | $10,956.02 | $28,499.03 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Emblc/Thrmbc Ax Brach Innominate Subcla Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.49 | $6,064.00 | $10,871.00 | |
Horizon BCBS
| Facility | $10,605.89 | $10,956.02 | $28,499.03 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |