| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $6,165.95 | $10,000.00 | |
AmeriHealth
| Facility | $1,995.26 | $1,995.26 | $5,128.61 | |
Horizon BCBS
| Facility | $7,244.36 | $11,481.54 | $17,782.79 | |
United
| Facility | $3,630.78 | $7,585.78 | $15,135.61 |