| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.47 | $43.61 | $51.31 | |
Aetna
| Professional | $43.61 | $60.32 | $78.80 | |
Cigna
| Professional | $53.94 | $77.70 | $102.80 | |
Horizon BCBS
| Professional | $61.29 | $73.27 | $106.08 | |
United
| Professional | $51.07 | $67.37 | $151.40 |