| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.95 | $24.95 | $24.95 | |
Aetna
| Professional | $24.95 | $24.95 | $24.95 | |
Cigna
| Facility | $23.53 | $27.68 | $30.45 | |
Cigna
| Professional | $27.68 | $27.68 | $27.68 | |
Horizon BCBS
| Professional | $19.71 | $24.39 | $33.77 | |
United
| Professional | $29.35 | $29.35 | $33.53 |