| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.23 | $5,975.00 | $11,298.00 | |
Cigna
| Facility | $19,351.00 | $26,155.00 | $34,609.00 | |
Horizon BCBS
| Facility | $71,437.47 | $77,948.14 | $169,029.63 | |
United
| Facility | $8,718.00 | $18,265.00 | $135,451.00 |