| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $5,888.44 | $10,964.78 | |
Aetna
| Professional | $316.23 | $6,025.60 | $12,302.69 | |
Horizon BCBS
| Facility | $467.74 | $741.31 | $1,174.90 | |
United
| Facility | $1,318.26 | $2,884.03 | $7,762.47 |