| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.85 | $1.05 | $2.69 | |
Aetna
| Professional | $0.69 | $0.83 | $0.85 | |
Cigna
| Facility | $0.85 | $0.85 | $1.10 | |
Cigna
| Professional | $0.85 | $0.85 | $0.85 | |
Horizon BCBS
| Facility | $0.83 | $5.72 | $13,785.00 | |
Horizon BCBS
| Professional | $0.85 | $0.85 | $0.85 |