| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.15 | $50.15 | $50.15 | |
Aetna
| Professional | $38.03 | $46.88 | $50.15 | |
Cigna
| Facility | $58.17 | $58.17 | $69.86 | |
Emblem Health
| Professional | $61.30 | $81.31 | $151.41 | |
Horizon BCBS
| Facility | $57.35 | $59.55 | $113.53 | |
Horizon BCBS
| Professional | $19.50 | $33.38 | $54.36 | |
United
| Professional | $41.28 | $54.96 | $103.90 |