| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $6,918.31 | $11,748.98 | |
Aetna
| Professional | $5,888.44 | $11,748.98 | $12,302.69 | |
Horizon BCBS
| Facility | $588.84 | $912.01 | $1,513.56 | |
United
| Facility | $1,318.26 | $2,884.03 | $7,762.47 |