| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $138.04 | $436.52 | |
Aetna
| Professional | $32.36 | $45.71 | $74.13 | |
Cigna
| Professional | $38.02 | $61.66 | $131.83 | |
Emblem Health
| Professional | $61.66 | $81.28 | $109.65 | |
Horizon BCBS
| Facility | $75.86 | $125.89 | $190.55 | |
Horizon BCBS
| Professional | $45.71 | $61.66 | $125.89 | |
United
| Facility | $72.44 | $128.82 | $154.88 | |
United
| Professional | $33.11 | $52.48 | $93.33 |