| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $1.75 | |
Aetna
| Professional | $0.90 | $0.90 | $1.43 | |
Cigna
| Professional | $75.00 | $75.00 | $75.00 | |
Horizon BCBS
| Professional | $156.13 | $156.13 | $156.13 | |
United
| Professional | $65.40 | $65.40 | $109.00 |