| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.55 | $4,276.81 | $8,148.80 | |
Aetna
| Facility | 52 | $113.45 | $204.45 | $795.74 |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $8,215.01 | $8,633.08 | $8,963.70 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |