| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.14 | $9.03 | $9.03 | |
Aetna
| Professional | $8.14 | $9.07 | $20.73 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $15.75 | $20.35 | $20.35 | |
Horizon BCBS
| Professional | $16.39 | $16.39 | $16.39 | |
United
| Professional | $10.56 | $13.81 | $27.22 |