| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.12 | $1.66 | $3.17 | |
Aetna
| Professional | $1.12 | $1.12 | $1.12 | |
Cigna
| Facility | $1.12 | $1.53 | $1.98 | |
Cigna
| Professional | $1.12 | $1.12 | $1.12 | |
Horizon BCBS
| Facility | $1.19 | $4.75 | $13,785.00 | |
Horizon BCBS
| Professional | $1.19 | $1.19 | $1.33 | |
United
| Facility | $1.19 | $2.58 | $2.64 | |
United
| Professional | $1.12 | $1.12 | $1.37 |