| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.38 | $148.38 | $471.70 | |
Aetna
| Professional | $80.00 | $148.38 | $148.38 | |
Cigna
| Facility | $193.77 | $195.69 | $322.95 | |
Horizon BCBS
| Facility | $336.20 | $8,702.00 | $13,785.00 |