| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.79 | $124.18 | $3,700.10 | |
Aetna
| Professional | $78.80 | $78.80 | $79.58 | |
Cigna
| Facility | $53.84 | $86.15 | $111.49 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
Horizon BCBS
| Facility | $81.01 | $177.04 | $13,785.00 | |
Horizon BCBS
| Professional | $42.00 | $78.72 | $78.72 | |
United
| Professional | $78.80 | $78.80 | $136.57 |