| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.15 | $22.88 | $98.78 | |
Aetna
| Professional | $9.15 | $11.33 | $14.68 | |
Cigna
| Facility | $16.88 | $25.64 | $54.42 | |
Cigna
| Professional | $9.15 | $18.95 | $24.78 | |
Emblem Health
| Professional | $6.91 | $8.64 | $10.36 | |
Horizon BCBS
| Facility | $17.27 | $17.27 | $8,702.00 | |
Horizon BCBS
| Professional | $13.82 | $13.82 | $13.82 | |
United
| Professional | $6.04 | $10.36 | $17.70 |