| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,059.00 | $5,975.00 | $10,692.00 | |
Aetna
| Professional | $1,575.67 | $1,575.67 | $6,396.00 | |
Horizon BCBS
| Facility | $3,588.91 | $4,283.18 | $7,893.03 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |