| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.27 | $24.27 | $24.27 | |
Horizon BCBS
| Facility | $668.04 | $715.07 | $1,343.75 | |
Horizon BCBS
| Professional | $15.49 | $21.01 | $33.83 | |
United
| Professional | $13.23 | $18.14 | $36.11 |