| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,976.00 | $11,557.00 | |
Aetna
| Professional | $11,298.00 | $15,443.64 | $15,443.64 | |
Cigna
| Professional | $9,937.73 | $9,937.73 | $9,937.73 | |
Horizon BCBS
| Facility | $43,656.38 | $77,482.28 | $94,668.37 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |