| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.66 | $78.66 | $78.66 | |
Aetna
| Professional | $61.20 | $79.20 | $182.00 | |
Cigna
| Facility | $93.21 | $93.21 | $93.21 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Horizon BCBS
| Professional | $86.81 | $102.13 | $107.37 | |
United
| Professional | $63.51 | $94.00 | $173.08 |