| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $63.10 | $281.84 | |
Aetna
| Professional | $28.18 | $38.02 | $46.77 | |
Cigna
| Facility | $53.70 | $104.71 | $213.80 | |
Emblem Health
| Professional | $48.98 | $61.66 | $102.33 | |
Horizon BCBS
| Facility | $46.77 | $9,332.54 | $25,703.96 | |
Horizon BCBS
| Professional | $37.15 | $37.15 | $46.77 | |
United
| Facility | $21.88 | $46.77 | $95.50 | |
United
| Professional | $18.62 | $28.18 | $48.98 |