| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.76 | $4,025.00 | $9,600.00 | |
AmeriHealth
| Facility | $10,860.48 | $10,860.48 | $10,860.48 | |
Horizon BCBS
| Facility | $6,296.41 | $6,958.22 | $7,911.28 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |