| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.20 | $16.88 | $16.88 | |
Aetna
| Professional | $14.86 | $16.93 | $33.78 | |
Cigna
| Professional | $25.50 | $25.50 | $25.50 | |
Horizon BCBS
| Professional | $26.02 | $26.02 | $26.02 | |
United
| Facility | $38.88 | $45.74 | $54.89 | |
United
| Professional | $19.51 | $26.63 | $58.95 |