| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.25 | $261.25 | $261.25 | |
Aetna
| Professional | $218.81 | $267.58 | $379.76 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $318.39 | |
Horizon BCBS
| Professional | $323.52 | $323.52 | $323.52 | |
United
| Professional | $23.17 | $28.13 | $45.21 |