| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $2.18 | $2.18 | $2.18 | |
Horizon BCBS
| Professional | $10.63 | $12.50 | $12.50 | |
United
| Professional | $5.57 | $5.57 | $5.57 |