| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $5,888.44 | $10,964.78 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Horizon BCBS
| Facility | $109.65 | $223.87 | $251.19 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,511.38 |