| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $551.66 | $4,282.87 | $8,032.28 | |
Aetna
| Facility | 52 | $86.00 | $155.16 | $281.45 |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $8,111.16 | $8,963.70 | $17,094.68 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |