| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.00 | $1,198.50 | $2,074.00 | |
Aetna
| Professional | $690.00 | $830.00 | $850.00 | |
Cigna
| Facility | $180.20 | $212.00 | $233.20 | |
Cigna
| Professional | $212.00 | $212.00 | $212.00 | |
Horizon BCBS
| Professional | $900.00 | $900.00 | $900.00 | |
United
| Professional | $212.00 | $212.00 | $259.80 |