| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $6,456.54 | $10,964.78 | |
AmeriHealth
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
Horizon BCBS
| Facility | $5,888.44 | $9,120.11 | $14,454.40 | |
United
| Facility | $2,884.03 | $6,606.93 | $10,964.78 |