| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,131.32 | $5,845.00 | $10,202.00 | |
AmeriHealth
| Facility | $244.49 | $244.49 | $244.49 | |
Horizon BCBS
| Facility | $14,184.51 | $14,184.51 | $28,807.94 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,258.00 |