| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,105.14 | $6,162.00 | $15,000.01 | |
Aetna
| Facility | 62 | $17,337.16 | $17,337.16 | $17,337.16 |
Horizon BCBS
| Facility | $21,100.97 | $25,311.77 | $48,272.06 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,258.00 |