| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.50 | $299.50 | $1,112.50 | |
Cigna
| Facility | $46.31 | $62.09 | $100.68 | |
Horizon BCBS
| Facility | $104.82 | $230.54 | $13,785.00 | |
United
| Facility | $27.21 | $27.21 | $51.00 |