| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $9,332.54 | $15,488.17 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Horizon BCBS
| Facility | $12,302.69 | $18,620.87 | $29,512.09 | |
United
| Facility | $4,570.88 | $9,772.37 | $25,118.86 |