| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.38 | $5.98 | $5.98 | |
Aetna
| Professional | $5.38 | $6.00 | $13.70 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $2.47 | $2.47 | $2.47 | |
Horizon BCBS
| Professional | $13.55 | $13.55 | $13.55 | |
United
| Professional | $8.13 | $9.76 | $21.80 |