| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.31 | $22.31 | $35.68 | |
Aetna
| Professional | $21.00 | $21.79 | $22.31 | |
Cigna
| Facility | $151.44 | $174.33 | $195.98 | |
Cigna
| Professional | $174.33 | $174.33 | $174.33 | |
Horizon BCBS
| Professional | $411.58 | $411.58 | $411.58 | |
United
| Professional | $136.09 | $155.41 | $275.01 |