| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.45 | $125.93 | $1,157.44 | |
Aetna
| Professional | $105.63 | $137.71 | $178.02 | |
Cigna
| Professional | $99.66 | $157.88 | $237.35 | |
Horizon BCBS
| Professional | $140.22 | $164.96 | $246.74 | |
United
| Professional | $106.46 | $152.91 | $272.82 |