| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $499.05 | $5,123.50 | $10,202.00 | |
AmeriHealth
| Facility | $400.00 | $400.00 | $400.00 | |
Horizon BCBS
| Facility | $8,157.14 | $8,900.56 | $16,974.24 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |