| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.81 | $284.79 | $679.02 | |
Aetna
| Professional | $74.02 | $81.42 | $87.35 | |
Cigna
| Professional | $87.12 | $87.12 | $87.12 | |
Horizon BCBS
| Facility | $261.20 | $313.30 | $313.30 | |
Horizon BCBS
| Professional | $145.78 | $171.50 | $171.50 |