| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,059.00 | $5,975.00 | $10,692.00 | |
Aetna
| Professional | $65.00 | $65.00 | $65.00 | |
Horizon BCBS
| Facility | $26,077.87 | $28,306.58 | $63,531.62 | |
United
| Facility | $2,090.00 | $7,068.00 | $13,765.00 |