| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.17 | $15.17 | $15.17 | |
Aetna
| Professional | $15.17 | $15.17 | $15.17 | |
Cigna
| Facility | $13.94 | $16.64 | $18.04 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
Horizon BCBS
| Facility | $14.54 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $14.89 | $14.89 | $14.89 | |
United
| Professional | $15.32 | $17.30 | $23.60 |