| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.69 | $112.36 | $194.44 | |
Aetna
| Professional | $64.69 | $77.81 | $79.69 | |
Cigna
| Facility | $67.58 | $79.50 | $87.45 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
Horizon BCBS
| Professional | $81.62 | $81.62 | $81.62 | |
United
| Professional | $90.69 | $90.69 | $103.60 |