| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.32 | $14.32 | $14.32 | |
Aetna
| Professional | $14.32 | $24.63 | $32.34 | |
Cigna
| Professional | $34.25 | $34.25 | $34.25 | |
Emblem Health
| Professional | $13.77 | $47.03 | $82.12 | |
Horizon BCBS
| Facility | $2,360.00 | $2,360.00 | $2,360.00 | |
Horizon BCBS
| Professional | $14.48 | $17.77 | $26.24 | |
United
| Professional | $2.13 | $16.23 | $29.62 |