| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.36 | $4,812.95 | $8,419.00 | |
AmeriHealth
| Facility | $5,273.60 | $5,273.60 | $5,273.60 | |
Horizon BCBS
| Facility | $7,884.56 | $13,993.66 | $17,097.55 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |