| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.97 | $6,986.00 | $16,819.00 | |
Cigna
| Facility | $10,500.00 | $20,323.00 | $21,225.00 | |
Horizon BCBS
| Facility | $25,244.46 | $25,244.46 | $63,531.62 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |