| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $10,000.00 | $28,840.32 | |
Cigna
| Facility | $3,162.28 | $12,882.50 | $67,608.30 | |
Horizon BCBS
| Facility | $109.65 | $223.87 | $251.19 | |
United
| Facility | $4,466.84 | $9,332.54 | $25,118.86 |