| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,488.17 | $23,442.29 | $30,902.95 | |
AmeriHealth
| Facility | $16,218.10 | $16,218.10 | $16,218.10 | |
Horizon BCBS
| Facility | $12,302.69 | $14,791.08 | $22,908.68 | |
United
| Facility | $6,165.95 | $15,135.61 | $26,302.68 |