| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $23.33 | |
AmeriHealth
| Professional | $18.55 | $21.06 | $156.60 | |
Cigna
| Professional | $5.88 | $20.19 | $36.08 | |
Horizon BCBS
| Professional | $19.00 | $19.00 | $19.00 | |
United
| Professional | $13.30 | $17.32 | $28.42 |