| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Horizon BCBS
| Facility | $991.08 | $1,003.76 | $1,095.25 | |
United
| Professional | $366.27 | $574.13 | $1,116.98 |