| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.96 | $116.26 | $518.00 | |
Aetna
| Professional | $21.06 | $25.41 | $63.02 | |
AmeriHealth
| Facility | $88.58 | $270.39 | $7,718.23 | |
Cigna
| Facility | $55.04 | $173.94 | $360.95 | |
Cigna
| Professional | $18.54 | $37.32 | $90.86 | |
Emblem Health
| Professional | $31.51 | $39.39 | $47.26 | |
Horizon BCBS
| Facility | $55.14 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $27.24 | $55.14 | $55.14 | |
United
| Professional | $14.23 | $42.03 | $51.20 |