| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,128.00 | $6,438.00 | $11,040.00 | |
Aetna
| Professional | $4,128.00 | $8,419.00 | $11,298.00 | |
Horizon BCBS
| Facility | $8,963.46 | $9,780.39 | $18,652.15 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,690.00 |