| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $300.00 | $300.00 | |
Aetna
| Professional | $299.74 | $300.00 | $454.77 | |
Cigna
| Professional | $888.12 | $1,002.19 | $1,252.74 | |
Horizon BCBS
| Professional | $135.08 | $135.08 | $158.91 |