| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $6,309.57 | $10,715.19 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Horizon BCBS
| Facility | $7,762.47 | $12,302.69 | $19,498.45 | |
United
| Facility | $2,818.38 | $6,165.95 | $10,964.78 |