| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.08 | $3,662.00 | $8,084.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $1,839.48 | $2,062.60 | $2,279.40 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |