| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.26 | $5,845.00 | $10,714.29 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $20,426.63 | $22,904.34 | $51,406.75 | |
United
| Facility | $3,885.00 | $8,043.00 | $14,048.00 |