| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $7,244.36 | $11,748.98 | |
Aetna
| Facility | 50 | $5,011.87 | $5,011.87 | $5,011.87 |
Horizon BCBS
| Facility | $7,244.36 | $11,220.18 | $17,378.01 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |