| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $6,918.31 | $11,748.98 | |
Aetna
| Professional | $186.21 | $239.88 | $323.59 | |
Horizon BCBS
| Facility | $9,549.93 | $15,135.61 | $22,908.68 | |
Horizon BCBS
| Professional | $229.09 | $354.81 | $707.95 | |
United
| Facility | $3,890.45 | $8,709.64 | $21,379.62 | |
United
| Professional | $239.88 | $331.13 | $758.58 |