| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $854.01 | $6,073.00 | $11,992.00 | |
Cigna
| Facility | $16,700.16 | $19,158.88 | $21,611.98 | |
Horizon BCBS
| Facility | $42,073.50 | $52,135.61 | $113,055.48 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |