| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $18.11 | $18.11 | |
Aetna
| Professional | $18.11 | $22.80 | $29.29 | |
Cigna
| Professional | $34.94 | $34.94 | $34.94 | |
Horizon BCBS
| Professional | $33.61 | $33.61 | $33.61 | |
United
| Professional | $24.72 | $25.21 | $40.98 |