| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.49 | $51.49 | $51.49 | |
Aetna
| Professional | $53.62 | $66.80 | $91.50 | |
Cigna
| Facility | $68.56 | $68.56 | $78.80 | |
Cigna
| Professional | $55.53 | $98.78 | $180.43 | |
Emblem Health
| Professional | $107.92 | $120.22 | $139.62 | |
Horizon BCBS
| Professional | $58.37 | $71.31 | $124.01 | |
United
| Professional | $53.42 | $77.29 | $159.04 |