| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $581.70 | $6,396.00 | $11,298.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $9,973.98 | $9,973.98 | $26,801.02 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |