| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.70 | $4,908.00 | $9,842.00 | |
Cigna
| Facility | $19,351.00 | $26,155.00 | $34,609.00 | |
Horizon BCBS
| Facility | $20,120.57 | $20,120.57 | $40,863.73 | |
United
| Facility | $5,378.00 | $9,141.00 | $14,121.00 |