| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.22 | $3.19 | $6.19 | |
Aetna
| Professional | $2.22 | $2.22 | $2.25 | |
Cigna
| Facility | $2.22 | $2.40 | $3.10 | |
Cigna
| Professional | $2.22 | $2.22 | $2.22 | |
Horizon BCBS
| Facility | $4.41 | $9.94 | $13,785.00 | |
Horizon BCBS
| Professional | $2.20 | $2.20 | $2.25 | |
United
| Facility | $3.00 | $3.00 | $3.00 | |
United
| Professional | $2.22 | $2.22 | $2.72 |