| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $7,578.00 | $12,384.00 | |
Aetna
| Professional | $11,298.00 | $34,906.24 | $34,906.24 | |
Horizon BCBS
| Facility | $1,080.00 | $35,230.75 | $49,636.03 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |