| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.26 | $228.26 | $228.26 | |
Aetna
| Professional | $183.84 | $228.26 | $439.96 | |
Cigna
| Professional | $40.57 | $596.25 | $745.31 | |
Horizon BCBS
| Professional | $340.48 | $340.48 | $340.48 | |
United
| Professional | $23.20 | $29.45 | $280.77 |