| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.32 | $7.53 | $14.63 | |
Aetna
| Professional | $5.32 | $5.32 | $5.37 | |
Cigna
| Facility | $5.32 | $5.58 | $7.23 | |
Cigna
| Professional | $5.32 | $5.32 | $5.32 | |
Horizon BCBS
| Facility | $8.86 | $19.48 | $13,785.00 | |
Horizon BCBS
| Professional | $5.13 | $5.15 | $5.15 | |
United
| Facility | $4.61 | $4.61 | $4.61 | |
United
| Professional | $5.32 | $5.32 | $6.65 |