| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,715.00 | $4,516.00 | $9,950.00 | |
Aetna
| Professional | $80.00 | $930.80 | $1,861.60 | |
Horizon BCBS
| Facility | $389.84 | $483.09 | $981.13 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |