| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.98 | $5,874.00 | $9,465.00 | |
AmeriHealth
| Facility | $6,568.25 | $6,568.25 | $6,568.25 | |
Horizon BCBS
| Facility | $11,824.80 | $13,661.29 | $16,127.35 | |
United
| Facility | $5,045.00 | $9,969.00 | $19,690.00 |