| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.72 | $3,987.00 | $9,383.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $11,679.31 | $11,679.31 | $25,686.07 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |