| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.90 | $42.90 | $42.90 | |
Aetna
| Professional | $42.90 | $42.90 | $42.90 | |
Cigna
| Facility | $40.04 | $47.11 | $51.82 | |
Cigna
| Professional | $47.11 | $47.11 | $48.63 | |
Horizon BCBS
| Professional | $45.42 | $45.42 | $45.42 | |
United
| Professional | $50.47 | $50.47 | $57.66 |