| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $7,762.47 | $11,748.98 | |
Aetna
| Professional | $5,888.44 | $12,302.69 | $22,908.68 | |
Horizon BCBS
| Facility | $23,442.29 | $36,307.81 | $57,543.99 | |
United
| Facility | $4,570.88 | $9,772.37 | $25,118.86 |