| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.31 | $74.66 | $8,469.52 | |
Aetna
| Professional | $45.31 | $45.31 | $45.77 | |
Cigna
| Facility | $42.75 | $53.33 | $69.01 | |
Cigna
| Professional | $45.31 | $45.31 | $45.31 | |
Horizon BCBS
| Facility | $77.98 | $192.23 | $13,785.00 | |
Horizon BCBS
| Professional | $42.00 | $45.13 | $45.13 | |
United
| Facility | $47.71 | $47.71 | $55.06 | |
United
| Professional | $45.31 | $45.31 | $55.53 |