| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.14 | $59.42 | $133.16 | |
Aetna
| Professional | $34.21 | $41.15 | $42.14 | |
Cigna
| Facility | $33.46 | $42.14 | $43.31 | |
Cigna
| Professional | $42.14 | $42.14 | $42.14 | |
Horizon BCBS
| Facility | $76.83 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $40.15 | $42.14 | $42.14 | |
United
| Professional | $41.31 | $41.31 | $43.58 |