| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.17 | $72.94 | $362.32 | |
Aetna
| Professional | $29.11 | $34.22 | $52.66 | |
AmeriHealth
| Professional | $26.34 | $32.01 | $93.50 | |
Cigna
| Facility | $232.00 | $232.00 | $232.00 | |
Cigna
| Professional | $28.77 | $45.15 | $95.45 | |
Emblem Health
| Professional | $32.07 | $42.51 | $87.87 | |
Horizon BCBS
| Professional | $24.74 | $36.22 | $66.26 | |
United
| Professional | $21.63 | $33.82 | $67.34 |