| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $6,918.31 | $12,022.64 | |
Cigna
| Facility | $16,595.87 | $19,498.45 | $21,379.62 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Facility | $1,412.54 | $3,019.95 | $7,762.47 |