| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.00 | $8,084.00 | $13,451.00 | |
Aetna
| Professional | $864.72 | $1,013.57 | $1,236.84 | |
Horizon BCBS
| Facility | $11,186.27 | $11,186.27 | $26,435.36 | |
Horizon BCBS
| Professional | $841.30 | $1,201.45 | $2,080.92 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 | |
United
| Professional | $625.92 | $1,030.84 | $2,284.90 |