| 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 | $11,220.18 | $13,489.63 | |
Horizon BCBS
| Facility | $10,232.93 | $15,848.93 | $25,118.86 | |
United
| Facility | $2,884.03 | $6,606.93 | $10,964.78 |