| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.70 | $96.88 | $167.65 | |
Aetna
| Professional | $55.78 | $67.09 | $68.70 | |
Cigna
| Facility | $60.70 | $71.41 | $117.78 | |
Horizon BCBS
| Professional | $72.90 | $72.90 | $72.90 | |
United
| Professional | $80.84 | $80.84 | $99.07 |