| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $40.74 | $89.13 | |
Cigna
| Professional | $26.30 | $47.86 | $83.18 | |
Emblem Health
| Professional | $38.02 | $60.26 | $77.62 | |
Horizon BCBS
| Facility | $281.84 | $13,803.84 | $19,498.45 | |
Horizon BCBS
| Professional | $34.67 | $58.88 | $102.33 | |
United
| Professional | $21.38 | $38.02 | $67.61 |