| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $169.82 | $169.82 | $794.33 | |
Horizon BCBS
| Facility | $1,071.52 | $2,951.21 | $20,417.38 | |
Horizon BCBS
| Professional | $147.91 | $173.78 | $426.58 | |
United
| Facility | $2,344.23 | $7,585.78 | $12,022.64 | |
United
| Professional | $120.23 | $234.42 | $501.19 |