| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.60 | $294.43 | $294.44 | |
Aetna
| Professional | $294.44 | $294.44 | $294.44 | |
Cigna
| Facility | $267.61 | $323.87 | $346.32 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
Horizon BCBS
| Facility | $246.94 | $558.73 | $13,785.00 | |
Horizon BCBS
| Professional | $282.82 | $299.87 | $299.87 | |
United
| Professional | $289.17 | $318.08 | $346.40 |