| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.58 | $280.58 | $934.42 | |
Aetna
| Professional | $89.88 | $174.10 | $370.91 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Horizon BCBS
| Facility | $383.54 | $419.87 | $816.56 | |
Horizon BCBS
| Professional | $8.50 | $10.00 | $10.00 |