| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $8,511.38 | $12,882.50 | |
Cigna
| Facility | $16,595.87 | $19,498.45 | $21,379.62 | |
Horizon BCBS
| Facility | $14,454.40 | $22,908.68 | $36,307.81 | |
United
| Facility | $4,786.30 | $10,000.00 | $25,118.86 |