| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $7,515.00 | $11,798.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
Cigna
| Facility | $16,700.16 | $19,158.88 | $21,611.98 | |
Horizon BCBS
| Facility | $25,244.46 | $28,306.58 | $67,834.27 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |