| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.70 | $4.11 | $4.11 | |
Aetna
| Professional | $3.70 | $4.12 | $9.42 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $5.09 | $5.09 | $7.41 | |
Horizon BCBS
| Professional | $7.45 | $7.45 | $7.45 | |
United
| Professional | $5.28 | $7.84 | $14.98 |