| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,628.00 | $11,298.00 | |
Aetna
| Professional | $52.47 | $73.20 | $73.20 | |
Horizon BCBS
| Professional | $84.11 | $121.59 | $203.20 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $57.28 | $82.21 | $157.09 |