| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.88 | $40.77 | $56.53 | |
Aetna
| Professional | $21.45 | $42.68 | $58.59 | |
Cigna
| Professional | $26.56 | $55.87 | $106.98 | |
Emblem Health
| Professional | $60.70 | $74.05 | $105.01 | |
Horizon BCBS
| Facility | $87.46 | $95.43 | $182.00 | |
Horizon BCBS
| Professional | $41.37 | $61.12 | $95.58 | |
United
| Professional | $26.27 | $50.81 | $97.98 |