| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.58 | $82.02 | $135.29 | |
Cigna
| Facility | $88.70 | $88.70 | $98.28 | |
Cigna
| Professional | $75.40 | $75.40 | $196.88 | |
Horizon BCBS
| Professional | $8.92 | $94.88 | $94.88 | |
United
| Professional | $7.12 | $10.75 | $93.95 |