| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,888.44 | $10,964.78 | |
Cigna
| Facility | $575.44 | $575.44 | $575.44 | |
Horizon BCBS
| Facility | $12,022.64 | $19,054.61 | $30,199.52 | |
United
| Facility | $2,884.03 | $6,165.95 | $10,964.78 |