| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.97 | $618.60 | $1,953.83 | |
Aetna
| Professional | $52.73 | $258.79 | $618.60 | |
AmeriHealth
| Facility | $5,536.05 | $5,536.05 | $5,536.05 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Horizon BCBS
| Facility | $570.41 | $741.96 | $1,532.78 |