| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.67 | $564.64 | $1,377.60 | |
Aetna
| Professional | $23.00 | $295.89 | $317.60 | |
AmeriHealth
| Facility | $310.80 | $5,695.20 | $8,738.06 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 | |
Horizon BCBS
| Facility | $313.89 | $384.60 | $666.85 |