| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $9,332.54 | $13,803.84 | |
Cigna
| Facility | $1,445.44 | $1,445.44 | $1,445.44 | |
Horizon BCBS
| Facility | $109.65 | $223.87 | $251.19 | |
United
| Facility | $1,513.56 | $5,248.07 | $10,471.29 |