| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.03 | $11.03 | $11.03 | |
Aetna
| Professional | $11.03 | $11.03 | $11.03 | |
Cigna
| Facility | $5.09 | $6.59 | $10.91 | |
Cigna
| Professional | $4.68 | $10.91 | $10.91 | |
Horizon BCBS
| Facility | $10.93 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $6.02 | $17.29 | $17.29 | |
United
| Professional | $9.86 | $10.85 | $11.91 |