| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.53 | $5,644.00 | $9,465.00 | |
AmeriHealth
| Facility | $5,022.39 | $5,022.39 | $5,022.39 | |
Horizon BCBS
| Facility | $5,380.51 | $6,033.17 | $6,667.30 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |