| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.29 | $83.29 | $83.29 | |
Horizon BCBS
| Facility | $179.59 | $179.59 | $393.99 | |
Horizon BCBS
| Professional | $28.60 | $35.14 | $61.31 | |
United
| Facility | $119.72 | $119.72 | $119.72 |