| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $5,888.44 | $10,964.78 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Horizon BCBS
| Facility | $3,715.35 | $5,888.44 | $9,549.93 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,511.38 |