| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.85 | $21.85 | $21.85 | |
Aetna
| Professional | $18.75 | $25.00 | $36.40 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Horizon BCBS
| Professional | $20.37 | $23.96 | $25.19 | |
United
| Professional | $17.75 | $28.35 | $53.63 |