| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.87 | $66.09 | $114.36 | |
Aetna
| Professional | $38.04 | $45.77 | $46.87 | |
Cigna
| Facility | $44.15 | $46.87 | $57.77 | |
Cigna
| Professional | $46.87 | $46.87 | $46.87 | |
Horizon BCBS
| Facility | $81.20 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $39.40 | $39.40 | $39.40 | |
United
| Professional | $45.95 | $45.95 | $55.14 |