| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.45 | $621.03 | $1,074.70 | |
Aetna
| Professional | $357.54 | $430.09 | $440.45 | |
Cigna
| Facility | $389.07 | $457.73 | $503.50 | |
Cigna
| Professional | $457.73 | $457.73 | $457.73 | |
Horizon BCBS
| Professional | $440.45 | $440.45 | $440.45 | |
United
| Professional | $518.17 | $518.17 | $591.97 |