| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.37 | $92.37 | $155.16 | |
Aetna
| Professional | $56.38 | $92.37 | $114.73 | |
Cigna
| Professional | $1.62 | $1.62 | $1.62 | |
Horizon BCBS
| Facility | $118.44 | $154.05 | $321.18 | |
Horizon BCBS
| Professional | $10.63 | $12.50 | $12.50 |