| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $889.50 | $889.50 | $889.50 | |
Aetna
| Professional | $555.95 | $857.80 | $1,019.94 | |
Cigna
| Professional | $750.60 | $750.60 | $750.60 | |
Horizon BCBS
| Professional | $819.52 | $819.52 | $819.52 | |
United
| Professional | $60.85 | $105.47 | $620.97 |