| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.93 | $461.93 | $461.93 | |
Aetna
| Professional | $282.77 | $461.93 | $691.89 | |
Cigna
| Professional | $643.37 | $643.37 | $1,068.75 | |
Horizon BCBS
| Professional | $590.55 | $590.55 | $590.55 | |
United
| Professional | $354.84 | $453.22 | $887.10 |