| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,505.91 | $5,300.00 | $9,308.95 | |
AmeriHealth
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Horizon BCBS
| Facility | $6,365.87 | $7,138.04 | $15,043.78 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |