| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,882.50 | $19,498.45 | $25,703.96 | |
Cigna
| Facility | $9,332.54 | $19,498.45 | $25,703.96 | |
Horizon BCBS
| Facility | $10,471.29 | $16,218.10 | $24,547.09 | |
United
| Facility | $6,165.95 | $15,135.61 | $22,387.21 |