| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $281.84 | $338.84 | |
Horizon BCBS
| Facility | $134.90 | $11,481.54 | $25,703.96 | |
Horizon BCBS
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $354.81 | $354.81 | $354.81 |