| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.07 | $211.60 | $366.17 | |
Aetna
| Professional | $121.82 | $146.54 | $150.07 | |
Cigna
| Facility | $127.25 | $149.71 | $246.93 | |
Horizon BCBS
| Professional | $158.90 | $158.90 | $158.90 | |
United
| Professional | $136.80 | $136.80 | $167.64 |