| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.79 | $57.53 | $99.55 | |
Aetna
| Professional | $33.11 | $39.84 | $40.79 | |
Cigna
| Facility | $36.04 | $42.40 | $46.64 | |
Cigna
| Professional | $42.40 | $42.40 | $42.40 | |
Horizon BCBS
| Professional | $40.79 | $40.79 | $40.79 | |
United
| Professional | $50.00 | $50.00 | $57.12 |