| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $7,762.47 | $21,877.62 | |
Aetna
| Professional | $4,570.88 | $6,025.60 | $12,302.69 | |
Horizon BCBS
| Facility | $1,258.93 | $1,995.26 | $3,162.28 | |
United
| Facility | $1,862.09 | $3,715.35 | $7,762.47 |