| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.20 | $4,540.00 | $8,155.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $8,369.84 | $9,249.58 | $17,639.84 | |
United
| Facility | $3,885.00 | $7,188.00 | $10,536.00 |