| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $208.93 | $870.96 | |
AmeriHealth
| Professional | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $13.80 | $29.51 | $79.43 | |
Emblem Health
| Professional | $17.78 | $28.18 | $36.31 | |
Horizon BCBS
| Facility | $128.82 | $13,803.84 | $19,498.45 | |
Horizon BCBS
| Professional | $16.98 | $39.81 | $104.71 | |
United
| Professional | $11.75 | $20.42 | $44.67 |