| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.00 | $76.14 | $131.76 | |
Aetna
| Professional | $43.84 | $52.73 | $54.00 | |
Cigna
| Facility | $48.62 | $54.00 | $62.92 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Horizon BCBS
| Facility | $52.73 | $236.56 | $13,785.00 | |
Horizon BCBS
| Professional | $42.00 | $54.00 | $54.00 | |
United
| Professional | $52.94 | $52.94 | $63.53 |