| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.94 | $23.94 | $23.94 | |
Aetna
| Professional | $23.94 | $33.89 | $43.69 | |
Cigna
| Professional | $35.19 | $35.19 | $35.19 | |
Horizon BCBS
| Facility | $371.06 | $447.09 | $955.07 | |
Horizon BCBS
| Professional | $37.78 | $44.45 | $46.72 | |
United
| Professional | $31.81 | $50.81 | $90.55 |