| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.00 | $5,576.55 | $9,846.00 | |
AmeriHealth
| Facility | $5,253.00 | $9,088.00 | $15,994.00 | |
Horizon BCBS
| Facility | $10,860.02 | $11,558.82 | $12,001.50 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |