| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.66 | $5,644.00 | $9,383.00 | |
AmeriHealth
| Facility | $2,000.00 | $2,000.00 | $5,102.50 | |
Horizon BCBS
| Facility | $6,923.95 | $6,923.95 | $16,362.64 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |