| 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 | $6,747.27 | $8,052.53 | $18,130.55 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |