| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,294.00 | $8,510.00 | $13,727.00 | |
Aetna
| Professional | $12,384.00 | $13,753.37 | $13,753.37 | |
Horizon BCBS
| Facility | $7,358.41 | $7,358.41 | $16,183.19 | |
United
| Facility | $3,321.00 | $8,043.00 | $14,643.00 |