| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $34.67 | $57.54 | |
Aetna
| Professional | $21.88 | $28.84 | $43.65 | |
Cigna
| Professional | $23.44 | $38.02 | $75.86 | |
Emblem Health
| Professional | $50.12 | $53.70 | $64.57 | |
Horizon BCBS
| Professional | $30.20 | $36.31 | $64.57 | |
United
| Professional | $18.20 | $30.20 | $58.88 |