| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.22 | $119.22 | $119.22 | |
Aetna
| Professional | $25.45 | $30.54 | $151.13 | |
Cigna
| Professional | $28.57 | $36.89 | $66.87 | |
Emblem Health
| Professional | $35.74 | $43.09 | $62.99 | |
Horizon BCBS
| Professional | $22.53 | $33.54 | $52.05 | |
United
| Professional | $20.95 | $28.88 | $53.56 |