| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $5,495.41 | $10,964.78 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Horizon BCBS
| Facility | $1,819.70 | $2,884.03 | $4,677.35 | |
United
| Facility | $2,089.30 | $5,011.87 | $8,511.38 |