| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,286.00 | $5,647.00 | $10,692.00 | |
Aetna
| Professional | $126.00 | $126.00 | $126.00 | |
Cigna
| Facility | $314.62 | $314.62 | $377.85 | |
Horizon BCBS
| Facility | $306.98 | $306.98 | $675.13 | |
Horizon BCBS
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $1,401.00 | $3,336.00 | $10,536.00 |