| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.31 | $382.31 | $382.31 | |
Aetna
| Professional | $203.59 | $300.85 | $420.06 | |
Cigna
| Professional | $359.63 | $359.63 | $359.63 | |
Horizon BCBS
| Professional | $363.37 | $427.49 | $449.39 | |
United
| Professional | $262.70 | $320.62 | $608.07 |