| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,049.00 | $9,989.00 | $18,402.00 | |
Cigna
| Facility | $15,750.00 | $42,703.00 | $49,730.00 | |
Horizon BCBS
| Facility | $40,009.96 | $49,636.03 | $94,668.37 | |
United
| Facility | $7,963.00 | $15,079.00 | $36,366.00 |