| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77,624.71 | $134,896.29 | $181,970.09 | |
AmeriHealth
| Facility | $23,988.33 | $23,988.33 | $23,988.33 | |
Horizon BCBS
| Facility | $70,794.58 | $114,815.36 | $177,827.94 | |
United
| Facility | $6,165.95 | $21,379.62 | $154,881.66 |