| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $2.21 | $4.30 | |
Aetna
| Professional | $1.69 | $1.69 | $1.71 | |
Cigna
| Facility | $1.59 | $1.91 | $2.48 | |
Cigna
| Professional | $1.69 | $1.69 | $1.69 | |
Horizon BCBS
| Facility | $2.82 | $7.30 | $13,785.00 | |
Horizon BCBS
| Professional | $1.57 | $1.57 | $1.61 | |
United
| Professional | $1.69 | $1.69 | $2.06 |