| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Cigna
| Facility | $493.00 | $2,674.86 | $4,113.06 | |
Horizon BCBS
| Facility | $1,926.44 | $2,310.85 | $2,310.85 | |
Horizon BCBS
| Professional | $85.85 | $101.00 | $101.00 |