| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $7,079.46 | $11,748.98 | |
Cigna
| Facility | $22,387.21 | $28,183.83 | $33,113.11 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Facility | $5,370.32 | $11,481.54 | $69,183.10 |