| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.04 | $58.04 | $103.65 | |
Aetna
| Professional | $52.92 | $58.04 | $73.51 | |
Cigna
| Professional | $56.99 | $86.60 | $180.81 | |
Emblem Health
| Professional | $77.77 | $89.90 | $100.05 | |
Horizon BCBS
| Professional | $49.33 | $62.45 | $101.34 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $49.36 | $73.08 | $163.03 |