| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $87.10 | $144.54 | |
Aetna
| Professional | $58.88 | $74.13 | $104.71 | |
Ambetter
| Professional | $52.48 | $69.18 | $69.18 | |
Cigna
| Professional | $58.88 | $83.18 | $134.90 | |
Emblem Health
| Professional | $112.20 | $120.23 | $147.91 | |
Horizon BCBS
| Professional | $58.88 | $93.33 | $147.91 | |
United
| Facility | $64.57 | $95.50 | $181.97 | |
United
| Professional | $53.70 | $83.18 | $147.91 |