| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.74 | $12.20 | $12.20 | |
Cigna
| Facility | $74.67 | $1,310.85 | $1,574.30 | |
Horizon BCBS
| Facility | $1,532.25 | $1,590.92 | $3,034.07 | |
United
| Facility | $2,354.00 | $3,961.00 | $10,536.00 |