| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $358.65 | $5,153.00 | $10,871.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $11,183.80 | $12,359.29 | $26,801.02 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |