| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,976.00 | $11,557.00 | |
Aetna
| Professional | $10,895.24 | $10,895.24 | $10,895.24 | |
Horizon BCBS
| Facility | $22,250.00 | $22,250.00 | $55,995.55 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |