| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.38 | $177.38 | $177.38 | |
Aetna
| Professional | $151.40 | $170.09 | $201.01 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
Horizon BCBS
| Professional | $184.93 | $217.56 | $222.93 | |
United
| Professional | $127.11 | $177.59 | $378.68 |