| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.25 | $53.99 | $270.72 | |
Aetna
| Professional | $21.57 | $26.70 | $37.81 | |
AmeriHealth
| Professional | $26.14 | $26.14 | $39.00 | |
Cigna
| Professional | $23.50 | $34.13 | $75.70 | |
Emblem Health
| Professional | $25.75 | $34.29 | $70.56 | |
Horizon BCBS
| Professional | $19.54 | $29.81 | $46.13 | |
United
| Professional | $21.08 | $29.31 | $58.44 |