| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.83 | $303.83 | $759.21 | |
Aetna
| Professional | $16.29 | $16.29 | $307.51 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 | |
Horizon BCBS
| Facility | $296.35 | $438.21 | $931.72 |