| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $95.50 | $173.78 | |
Aetna
| Professional | $63.10 | $63.10 | $89.13 | |
Cigna
| Facility | $60.26 | $72.44 | $95.50 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
Horizon BCBS
| Facility | $72.44 | $9,772.37 | $25,118.86 | |
Horizon BCBS
| Professional | $56.23 | $56.23 | $56.23 | |
United
| Facility | $48.98 | $70.79 | $102.33 | |
United
| Professional | $60.26 | $64.57 | $72.44 |