| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.78 | $6,073.00 | $10,871.00 | |
Cigna
| Facility | $4,029.00 | $4,029.00 | $4,029.00 | |
Horizon BCBS
| Facility | $10,956.02 | $12,044.61 | $25,063.76 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |