| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.08 | $1,698.00 | $4,074.00 | |
Aetna
| Professional | $318.75 | $418.35 | $475.00 | |
Cigna
| Facility | $611.37 | $1,015.71 | $1,290.98 | |
Horizon BCBS
| Facility | $700.69 | $836.24 | $1,655.85 |