| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,424.94 | $24,653.66 | $28,849.88 | |
Aetna
| Professional | $14,126.71 | $15,821.91 | $18,228.47 | |
Cigna
| Professional | $16,087.50 | $16,087.50 | $16,087.50 | |
Horizon BCBS
| Facility | $33,151.75 | $37,890.21 | $74,180.53 |