| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $7,079.46 | $11,220.18 | |
Aetna
| Facility | 50 | $6,760.83 | $6,760.83 | $10,715.19 |
Horizon BCBS
| Facility | $4,265.80 | $6,606.93 | $10,471.29 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |