| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $245.47 | $724.44 | |
Aetna
| Facility | 25 | $81.28 | $257.04 | $575.44 |
Cigna
| Facility | $323.59 | $398.11 | $436.52 | |
Horizon BCBS
| Facility | $316.23 | $7,244.36 | $10,471.29 | |
United
| Facility | $9.33 | $9.33 | $12.59 |