| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.27 | $121.27 | $121.27 | |
Aetna
| Professional | $73.54 | $122.10 | $172.96 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Horizon BCBS
| Professional | $138.24 | $138.24 | $138.24 | |
United
| Professional | $117.50 | $152.71 | $259.05 |