| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.38 | $60.49 | $71.17 | |
Aetna
| Professional | $58.11 | $75.84 | $98.29 | |
AmeriHealth
| Professional | $90.22 | $90.22 | $90.22 | |
Cigna
| Professional | $67.89 | $107.47 | $127.41 | |
Horizon BCBS
| Professional | $76.13 | $100.80 | $145.15 | |
United
| Professional | $61.97 | $86.26 | $150.65 |