| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.25 | $1.25 | $1.25 | |
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
Cigna
| Professional | $17.00 | $17.00 | $17.00 | |
Horizon BCBS
| Professional | $10.63 | $12.50 | $12.50 | |
United
| Professional | $5.35 | $5.35 | $5.35 |