| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.75 | $410.55 | $670.80 | |
Aetna
| Professional | $112.50 | $596.79 | $1,559.20 | |
Cigna
| Facility | $154.62 | $203.99 | $410.88 | |
Cigna
| Professional | $115.00 | $115.00 | $132.00 | |
Horizon BCBS
| Facility | $214.08 | $214.08 | $408.26 |