| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.33 | $19.17 | $27.92 | |
Cigna
| Facility | $24.98 | $24.98 | $24.98 | |
Cigna
| Professional | $15.43 | $22.71 | $40.10 | |
Emblem Health
| Professional | $23.19 | $23.59 | $110.00 | |
Horizon BCBS
| Professional | $16.68 | $19.62 | $27.00 | |
United
| Professional | $12.10 | $17.22 | $34.50 |