| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.54 | $48.54 | $48.54 | |
Aetna
| Professional | $36.50 | $41.73 | $48.81 | |
Cigna
| Facility | $75.95 | $75.95 | $91.22 | |
Horizon BCBS
| Facility | $90.67 | $90.67 | $160.88 | |
Horizon BCBS
| Professional | $34.84 | $43.66 | $70.86 | |
United
| Professional | $37.11 | $49.81 | $99.29 |