| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.87 | $13.18 | $13.18 | |
Aetna
| Professional | $11.87 | $13.22 | $30.23 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $16.14 | $16.14 | $23.16 | |
Horizon BCBS
| Professional | $23.92 | $23.92 | $23.92 | |
United
| Professional | $12.62 | $20.13 | $48.09 |