| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,888.20 | $6,016.00 | $12,080.35 | |
Aetna
| Facility | 52 | $876.44 | $876.44 | $1,203.75 |
Horizon BCBS
| Facility | $22,904.34 | $25,311.77 | $54,888.28 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |