| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,628.00 | $11,298.00 | |
Aetna
| Professional | $5,695.00 | $11,298.00 | $18,693.00 | |
Cigna
| Facility | $4,680.00 | $4,680.00 | $4,680.00 | |
Horizon BCBS
| Facility | $42,547.22 | $81,141.84 | $86,411.04 | |
United
| Facility | $7,963.00 | $15,079.00 | $36,366.00 |