| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $758.58 | $954.99 | $5,888.44 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
Horizon BCBS
| Professional | $169.82 | $1,778.28 | $4,677.35 | |
United
| Facility | $5,888.44 | $10,000.00 | $17,378.01 | |
United
| Professional | $204.17 | $1,023.29 | $4,570.88 |