| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.99 | $6,073.00 | $10,871.00 | |
AmeriHealth
| Facility | $3,870.05 | $3,870.05 | $3,870.05 | |
Horizon BCBS
| Facility | $11,446.90 | $14,184.51 | $30,758.91 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |