| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,049.00 | $7,770.00 | $18,402.00 | |
Aetna
| Professional | $40.00 | $2,719.85 | $2,719.85 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
Horizon BCBS
| Professional | $28.94 | $34.04 | $34.04 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |