| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.52 | $186.52 | $295.79 | |
Cigna
| Facility | $300.00 | $300.00 | $1,193.00 | |
Cigna
| Professional | $243.64 | $375.00 | $375.00 | |
Horizon BCBS
| Professional | $299.70 | $352.59 | $1,686.17 | |
United
| Professional | $238.05 | $297.95 | $439.00 |