| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.32 | $206.32 | $206.32 | |
Aetna
| Professional | $125.11 | $207.73 | $290.74 | |
Cigna
| Professional | $238.10 | $238.10 | $238.10 | |
Horizon BCBS
| Professional | $234.60 | $234.60 | $234.60 | |
United
| Professional | $199.41 | $258.64 | $383.13 |