| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.64 | $33.06 | $35.90 | |
Aetna
| Professional | $21.51 | $27.70 | $37.17 | |
Cigna
| Professional | $20.56 | $41.05 | $107.04 | |
Emblem Health
| Professional | $41.19 | $47.80 | $60.00 | |
Horizon BCBS
| Professional | $30.22 | $36.63 | $54.95 | |
United
| Professional | $23.71 | $35.54 | $71.48 |