| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.33 | $1,510.02 | $3,182.50 | |
Aetna
| Professional | $758.75 | $933.33 | $1,046.85 | |
Cigna
| Facility | $193.77 | $195.69 | $328.33 | |
Horizon BCBS
| Facility | $336.20 | $8,702.00 | $13,785.00 |