| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Horizon BCBS
| Facility | $1,737.80 | $5,128.61 | $7,079.46 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 | |
United
| Professional | $575.44 | $575.44 | $575.44 |