| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.60 | $15.60 | $15.60 | |
Aetna
| Professional | $15.60 | $24.01 | $35.90 | |
Cigna
| Professional | $44.69 | $166.72 | $166.72 | |
Emblem Health
| Professional | $23.30 | $33.19 | $35.29 | |
Horizon BCBS
| Professional | $19.48 | $24.54 | $41.41 | |
United
| Professional | $18.68 | $26.98 | $52.66 |