| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $24.55 | $42.66 | |
Aetna
| Professional | $17.78 | $33.11 | $52.48 | |
Ambetter
| Professional | $8.71 | $24.55 | $28.84 | |
Cigna
| Facility | $30.90 | $33.88 | $39.81 | |
Cigna
| Professional | $17.38 | $33.88 | $33.88 | |
Horizon BCBS
| Facility | $83.18 | $11,481.54 | $25,118.86 | |
Horizon BCBS
| Professional | $32.36 | $32.36 | $32.36 | |
United
| Facility | $30.20 | $32.36 | $58.88 | |
United
| Professional | $33.88 | $36.31 | $40.74 |