| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.00 | $8,419.00 | $20,153.08 | |
Cigna
| Facility | $15,750.00 | $42,703.00 | $49,730.00 | |
Horizon BCBS
| Facility | $42,046.12 | $42,046.12 | $43,656.38 | |
United
| Facility | $6,435.00 | $12,619.00 | $29,990.00 |