| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.10 | $9.10 | $9.10 | |
Aetna
| Professional | $9.10 | $14.66 | $23.62 | |
Cigna
| Professional | $8.38 | $8.38 | $8.38 | |
Horizon BCBS
| Professional | $11.72 | $13.79 | $13.79 | |
United
| Professional | $15.00 | $15.00 | $25.07 |