| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,542.29 | $46,773.51 | $63,095.73 | |
AmeriHealth
| Facility | $48,977.88 | $48,977.88 | $48,977.88 | |
Horizon BCBS
| Facility | $19,952.62 | $22,908.68 | $35,481.34 | |
United
| Facility | $6,165.95 | $18,197.01 | $54,954.09 |