| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,156.51 | $8,084.00 | $20,650.00 | |
Cigna
| Facility | $10,500.00 | $10,500.00 | $10,500.00 | |
Horizon BCBS
| Facility | $9,571.00 | $9,571.00 | $9,571.00 | |
United
| Facility | $5,682.00 | $13,591.00 | $26,500.00 |