| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $69.18 | $69.18 | |
Aetna
| Professional | $53.70 | $67.61 | $83.18 | |
Cigna
| Facility | $69.18 | $69.18 | $79.43 | |
Cigna
| Professional | $57.54 | $97.72 | $181.97 | |
Emblem Health
| Professional | $125.89 | $128.82 | $165.96 | |
Horizon BCBS
| Professional | $60.26 | $81.28 | $141.25 | |
United
| Professional | $53.70 | $77.62 | $138.04 |