| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.68 | $12.98 | $12.98 | |
Aetna
| Professional | $11.68 | $13.01 | $29.75 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $22.69 | $29.14 | $29.14 | |
Horizon BCBS
| Professional | $23.54 | $23.54 | $23.54 | |
United
| Professional | $15.12 | $21.21 | $47.34 |