| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $5,888.44 | $11,220.18 | |
Cigna
| Facility | $46,773.51 | $57,543.99 | $66,069.34 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 |