| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $87.10 | $104.71 | |
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
Horizon BCBS
| Professional | $83.18 | $83.18 | $83.18 | |
United
| Facility | $114.82 | $229.09 | $234.42 | |
United
| Professional | $97.72 | $97.72 | $109.65 |