| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,361.04 | $5,644.00 | $11,208.00 | |
AmeriHealth
| Facility | $5,357.80 | $9,850.12 | $16,905.00 | |
Horizon BCBS
| Facility | $14,015.87 | $15,715.96 | $30,824.83 | |
United
| Facility | $4,579.00 | $9,331.00 | $18,419.00 |