| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $15.85 | |
Aetna
| Professional | $15.14 | $19.95 | $33.11 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
Horizon BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
United
| Facility | $32.36 | $32.36 | $36.31 | |
United
| Professional | $17.38 | $28.84 | $58.88 |