| 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 | $8,054.02 | $8,157.14 | $8,900.56 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |