| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.35 | $5,109.00 | $9,860.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $16,209.14 | $16,829.91 | $36,495.49 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |