| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.05 | $170.02 | $170.02 | |
Aetna
| Professional | $153.05 | $170.54 | $389.70 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $208.25 | $208.25 | $299.63 | |
Horizon BCBS
| Professional | $308.38 | $308.38 | $308.38 | |
United
| Professional | $218.11 | $277.77 | $620.04 |