| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.62 | $13.06 | $97.14 | |
Aetna
| Professional | $10.62 | $10.62 | $10.72 | |
Cigna
| Facility | $17.98 | $33.45 | $43.03 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Horizon BCBS
| Facility | $44.72 | $44.72 | $44.72 | |
Horizon BCBS
| Professional | $16.75 | $16.75 | $16.75 | |
United
| Professional | $10.62 | $10.62 | $39.35 |