| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.32 | $1.58 | $3.09 | |
Aetna
| Professional | $1.07 | $1.29 | $1.32 | |
Cigna
| Facility | $1.32 | $1.32 | $1.71 | |
Cigna
| Professional | $1.32 | $1.32 | $1.32 | |
Horizon BCBS
| Facility | $2.17 | $3.05 | $13,785.00 | |
Horizon BCBS
| Professional | $0.37 | $1.32 | $1.32 |