| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $938.47 | $5,346.00 | $9,125.00 | |
AmeriHealth
| Facility | $8,407.68 | $8,407.68 | $8,407.68 | |
Horizon BCBS
| Facility | $17,367.83 | $30,824.83 | $37,661.98 | |
United
| Facility | $6,624.00 | $10,549.00 | $23,438.00 |