| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.22 | $524.22 | $524.22 | |
Aetna
| Professional | $422.30 | $524.22 | $909.41 | |
Cigna
| Facility | $546.85 | $546.85 | $546.85 | |
Cigna
| Professional | $81.44 | $739.60 | $1,471.88 | |
Horizon BCBS
| Professional | $46.62 | $680.16 | $680.16 | |
United
| Professional | $51.01 | $102.21 | $648.49 |