| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.67 | $57.67 | $57.67 | |
Aetna
| Professional | $57.67 | $57.67 | $58.79 | |
Cigna
| Professional | $10.73 | $10.73 | $12.86 | |
Horizon BCBS
| Professional | $276.25 | $325.00 | $325.00 | |
United
| Professional | $56.62 | $62.92 | $93.87 |