| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.64 | $61.64 | $61.64 | |
Aetna
| Professional | $46.05 | $52.72 | $62.34 | |
Cigna
| Facility | $75.95 | $75.95 | $91.22 | |
Emblem Health
| Professional | $80.36 | $80.36 | $80.36 | |
Horizon BCBS
| Facility | $87.32 | $87.32 | $90.67 | |
Horizon BCBS
| Professional | $43.24 | $52.92 | $107.70 | |
United
| Professional | $48.34 | $62.74 | $125.06 |