| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,465.51 | $6,627.00 | $14,379.00 | |
AmeriHealth
| Facility | $4,563.08 | $8,182.00 | $11,733.00 | |
Horizon BCBS
| Facility | $20,426.63 | $20,426.63 | $48,272.06 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |