| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $416.87 | |
Aetna
| Professional | $281.84 | $407.38 | $426.58 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Horizon BCBS
| Facility | $354.81 | $588.84 | $870.96 | |
United
| Facility | $354.81 | $645.65 | $776.25 | |
United
| Professional | $128.82 | $128.82 | $128.82 |