| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.40 | $69.22 | $135.38 | |
Aetna
| Professional | $69.22 | $69.22 | $69.22 | |
Cigna
| Facility | $64.26 | $75.59 | $83.16 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Horizon BCBS
| Facility | $77.36 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $73.29 | $73.29 | $83.93 | |
United
| Facility | $61.00 | $61.00 | $61.00 | |
United
| Professional | $77.36 | $81.43 | $91.28 |