| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $679.25 | $679.25 | $679.25 | |
Aetna
| Professional | $583.05 | $776.79 | $1,483.54 | |
Cigna
| Facility | $107.63 | $107.63 | $107.63 | |
Cigna
| Professional | $91.49 | $91.49 | $144.13 | |
Horizon BCBS
| Professional | $1,188.24 | $1,188.24 | $1,188.24 | |
United
| Professional | $80.54 | $102.02 | $607.35 |