| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $75.86 | $147.91 | |
Aetna
| Professional | $38.90 | $67.61 | $109.65 | |
Cigna
| Professional | $44.67 | $87.10 | $186.21 | |
Emblem Health
| Professional | $125.89 | $138.04 | $165.96 | |
Horizon BCBS
| Professional | $75.86 | $93.33 | $165.96 | |
United
| Professional | $33.11 | $69.18 | $141.25 |