| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,572.00 | $5,841.00 | $10,692.00 | |
Aetna
| Professional | $2,500.00 | $6,153.00 | $11,298.00 | |
Horizon BCBS
| Facility | $5,340.39 | $5,544.92 | $10,574.69 | |
United
| Facility | $3,425.00 | $5,265.00 | $10,536.00 |