| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $83.18 | $371.54 | |
Aetna
| Professional | $33.11 | $48.98 | $74.13 | |
Cigna
| Facility | $60.26 | $138.04 | $147.91 | |
Cigna
| Professional | $67.61 | $75.86 | $95.50 | |
Emblem Health
| Professional | $25.12 | $29.51 | $36.31 | |
Horizon BCBS
| Facility | $61.66 | $10,471.29 | $25,703.96 | |
Horizon BCBS
| Professional | $37.15 | $40.74 | $50.12 | |
United
| Facility | $29.51 | $61.66 | $128.82 | |
United
| Professional | $25.12 | $37.15 | $63.10 |