| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.04 | $86.13 | $116.24 | |
Cigna
| Facility | $86.97 | $86.97 | $86.97 | |
Cigna
| Professional | $76.70 | $76.70 | $76.70 | |
Horizon BCBS
| Professional | $75.56 | $88.90 | $93.46 | |
United
| Professional | $67.33 | $87.82 | $169.56 |