| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.18 | $93.28 | $135.44 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
Cigna
| Professional | $55.95 | $55.95 | $155.46 | |
Horizon BCBS
| Professional | $122.00 | $176.04 | $207.11 | |
United
| Professional | $35.51 | $43.92 | $131.33 |