| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $28.97 | $28.97 | $28.97 | |
Cigna
| Facility | $27.49 | $31.94 | $35.57 | |
Cigna
| Professional | $16.97 | $31.94 | $31.94 | |
Horizon BCBS
| Facility | $32.38 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $30.67 | $30.67 | $30.67 | |
United
| Professional | $32.38 | $34.08 | $38.21 |