| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.55 | $106.53 | $184.34 | |
Aetna
| Professional | $61.33 | $73.77 | $75.55 | |
Cigna
| Facility | $64.22 | $75.55 | $83.11 | |
Cigna
| Professional | $75.55 | $75.55 | $75.55 | |
Horizon BCBS
| Professional | $1.22 | $1.22 | $1.22 | |
United
| Professional | $88.88 | $88.88 | $93.77 |