| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.21 | $580.11 | $580.11 | |
Aetna
| Professional | $510.65 | $580.11 | $816.48 | |
Cigna
| Professional | $293.45 | $293.45 | $293.45 | |
Horizon BCBS
| Professional | $622.80 | $622.80 | $622.80 | |
United
| Professional | $467.11 | $855.24 | $1,607.53 |