| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,049.00 | $7,514.00 | $12,838.00 | |
Aetna
| Professional | $6,016.00 | $11,298.00 | $17,548.00 | |
Horizon BCBS
| Facility | $12,999.74 | $12,999.74 | $14,184.51 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |