| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $23.99 | $28.84 | |
Emblem Health
| Professional | $44.67 | $44.67 | $44.67 | |
Horizon BCBS
| Facility | $74.13 | $77.62 | $87.10 | |
Horizon BCBS
| Professional | $28.18 | $35.48 | $63.10 | |
United
| Professional | $19.50 | $27.54 | $44.67 |