| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.22 | $2.47 | $2.47 | |
Aetna
| Professional | $2.22 | $2.48 | $5.66 | |
Cigna
| Facility | $225.00 | $225.00 | $225.00 | |
Cigna
| Professional | $4.17 | $5.50 | $5.50 | |
Horizon BCBS
| Professional | $4.48 | $4.48 | $4.48 | |
United
| Facility | $6.74 | $6.74 | $6.74 | |
United
| Professional | $3.17 | $4.71 | $7.45 |