| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.46 | $6.46 | $12.55 | |
Aetna
| Professional | $4.46 | $4.46 | $4.51 | |
Cigna
| Facility | $4.46 | $4.84 | $6.26 | |
Cigna
| Professional | $4.46 | $4.46 | $4.46 | |
Horizon BCBS
| Facility | $7.43 | $9.92 | $13,785.00 | |
Horizon BCBS
| Professional | $4.58 | $4.58 | $4.58 | |
United
| Professional | $4.46 | $4.46 | $5.47 |