| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Professional | $7.24 | $7.24 | $7.24 | |
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Horizon BCBS
| Professional | $4.68 | $4.68 | $4.68 | |
United
| Facility | $18.20 | $64.57 | $64.57 | |
United
| Professional | $4.68 | $4.68 | $6.61 |