| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.94 | $148.79 | $148.79 | |
Aetna
| Professional | $133.94 | $149.25 | $341.05 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $170.00 | $170.00 | $262.12 | |
Horizon BCBS
| Professional | $269.88 | $269.88 | $269.88 | |
United
| Professional | $202.41 | $227.25 | $447.83 |