| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.55 | $15.55 | $15.55 | |
Aetna
| Professional | $8.27 | $12.19 | $17.02 | |
Cigna
| Professional | $14.57 | $14.57 | $14.57 | |
Horizon BCBS
| Professional | $14.72 | $17.32 | $18.21 | |
United
| Professional | $10.82 | $12.99 | $25.11 |