| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.95 | $11.36 | $22.18 | |
Aetna
| Professional | $7.95 | $7.95 | $8.02 | |
Cigna
| Facility | $7.95 | $12.53 | $14.83 | |
Cigna
| Professional | $7.95 | $7.95 | $7.95 | |
Horizon BCBS
| Facility | $9.25 | $33.72 | $13,785.00 | |
Horizon BCBS
| Professional | $9.09 | $9.09 | $10.44 | |
United
| Professional | $7.95 | $7.95 | $9.74 |