| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $8,317.64 | $12,022.64 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Horizon BCBS
| Facility | $12,022.64 | $19,054.61 | $30,199.52 | |
United
| Facility | $3,890.45 | $8,709.64 | $21,379.62 |