| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $754.83 | $6,086.76 | $10,042.00 | |
AmeriHealth
| Facility | $2,500.00 | $2,500.00 | $9,939.79 | |
Horizon BCBS
| Facility | $14,015.87 | $14,478.58 | $37,661.98 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |