| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.53 | $118.05 | $3,913.39 | |
Aetna
| Professional | $47.53 | $47.53 | $48.00 | |
Cigna
| Facility | $44.83 | $48.08 | $62.22 | |
Cigna
| Professional | $47.52 | $47.52 | $47.52 | |
Horizon BCBS
| Facility | $94.39 | $216.27 | $13,785.00 | |
Horizon BCBS
| Professional | $42.00 | $47.89 | $47.89 | |
United
| Facility | $41.60 | $41.60 | $41.60 | |
United
| Professional | $47.53 | $47.53 | $58.25 |