| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $467.74 | $891.25 | |
Aetna
| Professional | $107.15 | $134.90 | $190.55 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $302.00 | $302.00 | $363.08 | |
Horizon BCBS
| Professional | $380.19 | $380.19 | $446.68 | |
United
| Facility | $407.38 | $407.38 | $407.38 | |
United
| Professional | $89.13 | $104.71 | $112.20 |