| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.08 | $1,698.00 | $4,074.00 | |
Aetna
| Professional | $250.00 | $425.00 | $475.00 | |
Cigna
| Facility | $493.00 | $634.66 | $926.59 | |
Horizon BCBS
| Facility | $474.24 | $587.66 | $587.66 |