| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $8,511.38 | $13,489.63 | |
Cigna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Horizon BCBS
| Facility | $109.65 | $223.87 | $251.19 | |
United
| Facility | $3,630.78 | $8,709.64 | $21,379.62 |