| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.82 | $26.25 | $30.60 | |
AmeriHealth
| Professional | $25.55 | $51.92 | $63.19 | |
Cigna
| Professional | $19.32 | $33.54 | $65.87 | |
Emblem Health
| Professional | $18.63 | $26.61 | $35.92 | |
Horizon BCBS
| Professional | $18.63 | $18.63 | $18.63 | |
United
| Professional | $11.82 | $20.23 | $37.25 |