| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,976.00 | $11,557.00 | |
Aetna
| Professional | $11,298.00 | $18,028.12 | $18,028.12 | |
Horizon BCBS
| Facility | $39,504.18 | $49,636.03 | $88,663.67 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |