| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,759.06 | $6,325.00 | $12,792.98 | |
AmeriHealth
| Facility | $8,148.42 | $8,148.42 | $8,148.42 | |
Horizon BCBS
| Facility | $14,382.16 | $16,352.10 | $31,187.56 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |