| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.53 | $88.08 | $293.19 | |
Aetna
| Professional | $39.92 | $85.00 | $97.19 | |
Cigna
| Facility | $55.76 | $125.58 | $261.38 | |
Cigna
| Professional | $33.56 | $59.04 | $122.19 | |
Emblem Health
| Professional | $39.93 | $59.89 | $82.71 | |
Horizon BCBS
| Facility | $57.04 | $13,785.00 | $13,785.00 | |
United
| Professional | $23.96 | $34.22 | $58.18 |