| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.13 | $402.08 | $3,727.00 | |
Aetna
| Professional | $250.00 | $402.08 | $475.00 | |
Cigna
| Facility | $414.00 | $500.98 | $780.38 | |
Horizon BCBS
| Facility | $349.28 | $416.84 | $432.79 |