| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.57 | $7.26 | $17.50 | |
AmeriHealth
| Professional | $9.75 | $22.50 | $62.50 | |
Cigna
| Professional | $119.58 | $150.37 | $255.12 | |
Horizon BCBS
| Professional | $3.86 | $4.54 | $4.54 |