| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $16.30 | |
Cigna
| Facility | $11.89 | $13.99 | $15.39 | |
Cigna
| Professional | $13.99 | $13.99 | $15.00 | |
Horizon BCBS
| Professional | $14.10 | $14.10 | $14.10 | |
United
| Facility | $15.71 | $15.71 | $15.71 | |
United
| Professional | $13.38 | $13.38 | $15.29 |