| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $671.95 | $671.95 | $839.94 | |
Horizon BCBS
| Facility | $584.90 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $409.43 | $537.55 | $717.00 | |
United
| Facility | $204.72 | $401.38 | $417.21 |