| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.52 | $50.52 | $50.52 | |
Aetna
| Professional | $40.69 | $47.27 | $66.70 | |
Cigna
| Facility | $75.95 | $75.95 | $91.22 | |
Emblem Health
| Professional | $118.54 | $118.54 | $118.54 | |
Horizon BCBS
| Facility | $83.09 | $87.32 | $196.57 | |
Horizon BCBS
| Professional | $35.44 | $44.86 | $94.30 | |
United
| Professional | $41.24 | $60.65 | $120.36 |