| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,628.00 | $11,298.00 | |
Aetna
| Professional | $150.00 | $8,419.00 | $12,384.00 | |
Horizon BCBS
| Facility | $1,547.88 | $1,710.56 | $3,262.23 | |
United
| Facility | $1,800.00 | $3,403.00 | $5,864.00 |