| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $18.62 | $18.62 | |
Aetna
| Professional | $18.62 | $18.62 | $18.62 | |
Cigna
| Facility | $14.89 | $17.52 | $19.27 | |
Cigna
| Professional | $17.52 | $17.52 | $17.52 | |
Horizon BCBS
| Professional | $17.69 | $17.69 | $17.69 | |
United
| Professional | $18.62 | $18.62 | $21.27 |