| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $7,515.00 | $11,798.00 | |
Aetna
| Professional | $11,298.00 | $15,815.07 | $15,815.07 | |
Horizon BCBS
| Facility | $35,230.75 | $39,504.18 | $94,668.37 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |