| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $154.88 | |
Aetna
| Professional | $10.96 | $15.14 | $69.18 | |
Cigna
| Professional | $9.77 | $16.22 | $33.88 | |
Horizon BCBS
| Professional | $10.96 | $13.80 | $23.99 | |
United
| Professional | $10.72 | $15.14 | $30.20 |