| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $531.16 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Horizon BCBS
| Facility | $991.08 | $1,095.25 | $2,088.75 | |
United
| Professional | $380.32 | $464.77 | $1,054.03 |