| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.56 | $29.56 | $29.56 |
Aetna
| Professional | $109.86 | $170.43 | $216.24 | |
Cigna
| Facility | 26 | $30.20 | $30.20 | $30.20 |
Cigna
| Professional | $98.35 | $190.20 | $407.64 | |
Emblem Health
| Professional | $175.00 | $235.96 | $307.20 | |
Horizon BCBS
| Professional | $117.39 | $138.10 | $244.14 | |
United
| Professional | $95.07 | $144.12 | $277.00 |