| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.62 | $155.71 | $155.71 | |
Aetna
| Professional | $13.72 | $18.07 | $143.93 | |
Cigna
| Professional | $21.00 | $25.56 | $31.08 | |
Emblem Health
| Professional | $130.03 | $130.03 | $130.03 | |
Horizon BCBS
| Facility | $58.44 | $58.44 | $72.42 | |
Horizon BCBS
| Professional | $104.74 | $127.87 | $222.51 | |
United
| Professional | $23.82 | $81.28 | $264.63 |