| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.70 | $43.70 | $43.70 | |
Aetna
| Professional | $34.00 | $44.00 | $109.20 | |
Cigna
| Facility | $51.82 | $51.82 | $51.82 | |
Cigna
| Professional | $38.22 | $38.22 | $38.22 | |
Horizon BCBS
| Professional | $48.27 | $56.79 | $59.70 | |
United
| Professional | $35.31 | $50.00 | $94.65 |