| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.00 | $245.00 | $736.73 | |
Aetna
| Professional | $132.88 | $231.75 | $245.00 | |
Cigna
| Facility | $62.09 | $62.09 | $111.75 | |
Horizon BCBS
| Facility | $117.55 | $175.00 | $13,785.00 | |
Horizon BCBS
| Professional | $148.75 | $175.00 | $175.00 | |
United
| Facility | $27.21 | $27.21 | $27.21 |