| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.69 | $6.32 | $6.32 | |
Aetna
| Professional | $5.69 | $6.35 | $14.51 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $10.19 | $10.19 | $11.11 | |
Horizon BCBS
| Professional | $11.48 | $11.48 | $11.48 | |
United
| Professional | $7.38 | $10.34 | $23.08 |