| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.36 | $19.36 | $23.81 | |
Aetna
| Professional | $19.36 | $19.36 | $19.36 | |
Cigna
| Facility | $19.48 | $22.93 | $25.22 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
Horizon BCBS
| Facility | $3,243.00 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $20.50 | $20.50 | $20.50 | |
United
| Professional | $22.78 | $22.78 | $26.02 |