| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $6,918.31 | $11,748.98 | |
Cigna
| Facility | $16,595.87 | $19,498.45 | $21,379.62 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Facility | $5,128.61 | $10,471.29 | $29,512.09 |