| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $8,128.31 | $12,022.64 | |
Aetna
| Professional | $6,025.60 | $9,772.37 | $12,302.69 | |
Horizon BCBS
| Facility | $19,054.61 | $29,512.09 | $46,773.51 | |
Horizon BCBS
| Professional | $3,630.78 | $3,630.78 | $4,265.80 | |
United
| Facility | $2,884.03 | $6,606.93 | $11,220.18 |