| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $6,918.31 | $11,748.98 | |
Aetna
| Professional | $1,445.44 | $6,760.83 | $12,302.69 | |
Horizon BCBS
| Facility | $467.74 | $741.31 | $1,174.90 | |
United
| Facility | $1,318.26 | $2,884.03 | $7,762.47 |