| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,059.00 | $5,975.00 | $10,692.00 | |
Aetna
| Professional | $532.17 | $532.17 | $6,396.00 | |
Horizon BCBS
| Facility | $1,433.32 | $2,641.30 | $3,227.16 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |