| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.09 | $452.00 | $1,104.00 | |
Aetna
| Professional | $35.57 | $94.09 | $111.44 | |
Cigna
| Professional | $78.08 | $78.08 | $78.08 | |
Horizon BCBS
| Professional | $96.65 | $113.70 | $119.53 | |
United
| Professional | $72.15 | $117.86 | $203.06 |