| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.47 | $26.97 | $34.06 | |
Aetna
| Professional | $16.17 | $25.03 | $32.54 | |
Cigna
| Professional | $18.12 | $35.36 | $81.59 | |
Emblem Health
| Professional | $5.00 | $5.00 | $45.23 | |
Horizon BCBS
| Professional | $15.13 | $25.83 | $44.44 | |
United
| Professional | $24.02 | $31.22 | $80.03 |