| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.51 | $68.51 | $263.73 | |
Aetna
| Professional | $51.55 | $59.61 | $69.01 | |
Cigna
| Facility | $44.50 | $44.50 | $53.45 | |
Emblem Health
| Professional | $81.05 | $107.20 | $200.19 | |
Horizon BCBS
| Facility | $73.15 | $90.67 | $172.88 | |
Horizon BCBS
| Professional | $30.26 | $49.18 | $83.14 | |
United
| Professional | $53.40 | $70.64 | $139.88 |