| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $7,079.46 | $11,220.18 | |
AmeriHealth
| Facility | $44,668.36 | $44,668.36 | $44,668.36 | |
Horizon BCBS
| Facility | $7,244.36 | $19,952.62 | $36,307.81 | |
United
| Facility | $4,570.88 | $9,772.37 | $25,118.86 |