| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.58 | $6,016.00 | $11,095.71 | |
AmeriHealth
| Facility | $6,303.60 | $6,303.60 | $6,303.60 | |
Horizon BCBS
| Facility | $9,685.21 | $9,685.21 | $22,888.08 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |