| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.53 | $4,294.00 | $9,860.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $761.86 | $761.86 | $1,800.43 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |