| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.76 | $30.87 | $143.57 | |
Aetna
| Professional | $14.76 | $18.28 | $23.67 | |
Cigna
| Facility | $24.54 | $55.57 | $115.02 | |
Emblem Health
| Professional | $22.59 | $30.62 | $32.88 | |
Horizon BCBS
| Facility | $17.57 | $1,165.00 | $13,785.00 | |
United
| Professional | $10.42 | $15.06 | $28.55 |