| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.84 | $48.13 | $61.38 | |
Aetna
| Professional | $48.13 | $58.64 | $77.31 | |
Cigna
| Facility | $73.75 | $73.75 | $80.78 | |
Cigna
| Professional | $43.04 | $59.00 | $105.40 | |
Emblem Health
| Professional | $73.64 | $84.78 | $95.28 | |
Horizon BCBS
| Professional | $49.50 | $63.49 | $101.42 | |
United
| Professional | $42.64 | $68.52 | $133.72 |