| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,628.00 | $11,298.00 | |
Aetna
| Professional | $150.00 | $8,419.00 | $12,384.00 | |
Horizon BCBS
| Facility | $586.50 | $666.06 | $1,385.98 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |