| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $7,770.00 | $12,964.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
Horizon BCBS
| Facility | $26,077.87 | $31,281.82 | $55,519.64 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |