| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.48 | $4,540.00 | $9,784.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $11,679.31 | $14,472.48 | $29,392.80 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |