| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,135.93 | $3,135.93 | $3,135.93 | |
Aetna
| Professional | $1,726.72 | $1,726.72 | $3,135.93 | |
Cigna
| Facility | $2,385.73 | $2,736.98 | $3,087.43 | |
Horizon BCBS
| Facility | $1,920.79 | $3,663.14 | $4,165.21 |