| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $346.74 | $891.25 | |
Aetna
| Professional | $61.66 | $75.86 | $102.33 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $25.70 | $52.48 | $85.11 | |
Horizon BCBS
| Professional | $46.77 | $77.62 | $131.83 | |
United
| Facility | $57.54 | $57.54 | $57.54 | |
United
| Professional | $33.11 | $51.29 | $97.72 |