| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,976.00 | $11,704.41 | |
Aetna
| Professional | $11,298.00 | $23,029.85 | $23,029.85 | |
Horizon BCBS
| Facility | $22,984.54 | $25,268.30 | $55,995.55 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |