| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.82 | $54.89 | $57.45 | |
AmeriHealth
| Professional | $66.00 | $66.00 | $66.00 | |
Cigna
| Professional | $14.25 | $14.25 | $14.25 | |
Horizon BCBS
| Professional | $85.00 | $85.00 | $100.00 |