| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,128.00 | $6,438.00 | $11,040.00 | |
Aetna
| Professional | $5,695.00 | $9,465.00 | $12,384.00 | |
Horizon BCBS
| Facility | $29,199.55 | $30,317.83 | $61,573.79 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |