| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $854.03 | $854.03 | $854.03 | |
Cigna
| Facility | $123.20 | $123.20 | $147.96 | |
Horizon BCBS
| Facility | $132.35 | $139.08 | $293.31 | |
Horizon BCBS
| Professional | $148.75 | $175.00 | $175.00 |