| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,008.38 | $4,667.00 | $10,202.00 | |
Aetna
| Facility | 52 | $329.61 | $329.61 | $678.10 |
Horizon BCBS
| Facility | $39,491.86 | $44,282.16 | $93,326.94 | |
United
| Facility | $6,435.00 | $12,619.00 | $29,990.00 |