| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.91 | $62.28 | $268.83 | |
Aetna
| Professional | $24.91 | $36.65 | $39.95 | |
Cigna
| Facility | $45.94 | $103.93 | $215.37 | |
Emblem Health
| Professional | $32.90 | $61.57 | $85.63 | |
Horizon BCBS
| Facility | $8,702.00 | $8,702.00 | $8,702.00 | |
United
| Professional | $19.73 | $28.20 | $47.94 |