| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.82 | $58.65 | $410.70 | |
Aetna
| Professional | $44.30 | $53.03 | $75.14 | |
Cigna
| Professional | $39.11 | $72.33 | $124.21 | |
Emblem Health
| Professional | $57.80 | $74.31 | $97.26 | |
Horizon BCBS
| Facility | $180.09 | $214.94 | $223.16 | |
Horizon BCBS
| Professional | $43.55 | $55.14 | $90.42 | |
United
| Professional | $39.28 | $59.78 | $105.90 |