| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.91 | $6.33 | $11.06 | |
Aetna
| Professional | $3.91 | $3.91 | $3.95 | |
Cigna
| Facility | $3.91 | $6.96 | $7.66 | |
Cigna
| Professional | $3.91 | $3.91 | $3.91 | |
Horizon BCBS
| Facility | $6.51 | $16.59 | $13,785.00 | |
Horizon BCBS
| Professional | $4.49 | $4.49 | $5.00 | |
United
| Professional | $3.91 | $3.91 | $4.79 |