| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.30 | $147.06 | $254.49 | |
Aetna
| Professional | $84.66 | $101.84 | $104.30 | |
Cigna
| Facility | $92.13 | $108.39 | $144.94 | |
Cigna
| Professional | $108.39 | $108.39 | $108.39 | |
Horizon BCBS
| Professional | $117.59 | $117.59 | $117.59 | |
United
| Professional | $122.70 | $122.70 | $140.16 |