| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $6,918.31 | $12,302.69 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Horizon BCBS
| Facility | $109.65 | $223.87 | $251.19 | |
United
| Facility | $1,513.56 | $5,623.41 | $10,471.29 |