| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $387.60 | $602.79 | $1,118.47 | |
AmeriHealth
| Professional | $3,192.60 | $3,192.60 | $3,192.60 | |
Cigna
| Facility | $795.00 | $795.00 | $810.90 | |
Cigna
| Professional | $675.75 | $795.00 | $1,571.25 | |
Horizon BCBS
| Professional | $891.44 | $891.44 | $891.44 | |
United
| Professional | $546.48 | $668.58 | $1,225.73 |