| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
Horizon BCBS
| Professional | $0.10 | $0.11 | $0.11 | |
United
| Facility | $0.02 | $0.02 | $0.03 | |
United
| Professional | $0.02 | $0.06 | $0.07 |