| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.01 | $155.11 | $268.42 | |
Aetna
| Professional | $89.30 | $107.42 | $110.01 | |
Cigna
| Facility | $95.06 | $111.84 | $184.47 | |
Horizon BCBS
| Professional | $116.48 | $116.48 | $116.48 | |
United
| Professional | $129.41 | $129.41 | $147.85 |