| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.84 | $30.20 | |
Cigna
| Professional | $25.12 | $25.12 | $34.67 | |
Horizon BCBS
| Professional | $30.20 | $34.67 | $97.72 | |
United
| Professional | $30.90 | $31.62 | $31.62 |