| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $126.75 | $126.75 | $158.44 | |
Horizon BCBS
| Facility | $8,702.00 | $8,702.00 | $8,702.00 | |
Horizon BCBS
| Professional | $91.54 | $91.54 | $91.54 | |
United
| Professional | $80.09 | $80.09 | $80.09 |