| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.02 | $9.02 | $9.02 | |
Aetna
| Professional | $9.02 | $9.02 | $9.02 | |
Cigna
| Facility | $7.28 | $8.57 | $9.43 | |
Cigna
| Professional | $8.57 | $8.57 | $8.57 | |
Horizon BCBS
| Professional | $8.58 | $8.58 | $8.58 | |
United
| Professional | $18.77 | $18.77 | $21.44 |