| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.00 | $361.81 | $1,140.92 | |
Aetna
| Professional | $244.15 | $305.62 | $361.81 | |
Cigna
| Facility | $211.32 | $268.30 | $493.00 | |
Horizon BCBS
| Facility | $1,864.87 | $2,310.85 | $4,101.37 | |
Horizon BCBS
| Professional | $242.45 | $285.23 | $437.84 | |
United
| Professional | $261.24 | $350.50 | $612.11 |