| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.57 | $2.23 | $4.33 | |
Aetna
| Professional | $1.57 | $1.57 | $1.59 | |
Cigna
| Facility | $1.57 | $1.67 | $2.17 | |
Cigna
| Professional | $1.57 | $1.57 | $1.57 | |
Horizon BCBS
| Facility | $1.51 | $6.66 | $13,785.00 | |
Horizon BCBS
| Professional | $1.50 | $1.58 | $1.58 | |
United
| Professional | $1.57 | $1.57 | $2.35 |