| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,294.00 | $9,605.00 | $20,338.00 | |
Aetna
| Professional | $5,982.00 | $16,588.00 | $22,063.00 | |
Cigna
| Facility | $8,958.15 | $10,591.00 | $12,253.70 | |
Horizon BCBS
| Facility | $53,955.48 | $60,500.18 | $135,787.35 | |
United
| Facility | $8,718.00 | $19,661.00 | $38,981.00 |