| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $8,511.38 | $12,302.69 | |
Aetna
| Professional | $6,025.60 | $13,489.63 | $15,848.93 | |
Horizon BCBS
| Facility | $37,153.52 | $57,543.99 | $91,201.08 | |
United
| Facility | $5,128.61 | $10,715.19 | $29,512.09 |