| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,963.11 | $1,963.12 | $3,223.84 | |
Aetna
| Professional | $318.22 | $318.22 | $5,707.27 | |
Cigna
| Professional | $673.84 | $673.84 | $673.84 | |
Horizon BCBS
| Facility | $2,681.73 | $3,216.89 | $6,533.34 |