| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,059.00 | $5,975.00 | $10,692.00 | |
Aetna
| Professional | $4,189.00 | $7,918.00 | $12,384.00 | |
Horizon BCBS
| Facility | $22,904.34 | $25,311.77 | $54,888.28 | |
United
| Facility | $2,090.00 | $7,068.00 | $13,765.00 |