| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $21.38 | $100.00 | |
Aetna
| Professional | $7.94 | $12.02 | $21.38 | |
Cigna
| Facility | $15.49 | $35.48 | $74.13 | |
Cigna
| Professional | $7.94 | $11.48 | $23.99 | |
Emblem Health
| Professional | $6.46 | $7.94 | $13.49 | |
Horizon BCBS
| Facility | $15.85 | $10,471.29 | $25,118.86 | |
Horizon BCBS
| Professional | $10.00 | $11.48 | $14.13 | |
United
| Facility | $7.59 | $15.85 | $33.11 | |
United
| Professional | $6.46 | $9.55 | $16.22 |