| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.81 | $35.33 | $120.00 | |
Aetna
| Professional | $45.22 | $45.23 | $63.32 | |
AmeriHealth
| Facility | $44.10 | $96.05 | $400.00 | |
AmeriHealth
| Professional | $20.25 | $48.76 | $175.00 | |
Cigna
| Facility | $24.26 | $44.69 | $102.42 | |
Cigna
| Professional | $18.72 | $36.64 | $45.23 | |
Emblem Health
| Professional | $14.13 | $19.43 | $27.14 | |
Horizon BCBS
| Facility | $24.73 | $24.73 | $8,702.00 | |
Horizon BCBS
| Professional | $36.18 | $36.18 | $45.23 | |
United
| Facility | $24.95 | $24.95 | $45.00 | |
United
| Professional | $14.84 | $22.96 | $46.13 |