| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.97 | $28.25 | $53.75 | |
Aetna
| Professional | $18.64 | $22.43 | $22.97 | |
Cigna
| Facility | $15.78 | $22.97 | $29.72 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
Horizon BCBS
| Facility | $16.91 | $18.94 | $36.46 | |
Horizon BCBS
| Professional | $12.40 | $13.03 | $15.33 | |
United
| Professional | $22.52 | $22.52 | $27.02 |