| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.56 | $30.62 | $30.62 | |
Aetna
| Professional | $27.56 | $30.71 | $70.18 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $0.09 | $0.09 | $53.72 | |
Horizon BCBS
| Professional | $55.53 | $55.53 | $55.53 | |
United
| Professional | $29.29 | $50.03 | $111.65 |