| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.10 | $25.04 | $408.92 | |
Aetna
| Professional | $17.52 | $20.99 | $28.29 | |
Cigna
| Professional | $16.00 | $22.02 | $43.80 | |
Emblem Health
| Professional | $30.07 | $34.70 | $38.90 | |
Horizon BCBS
| Professional | $18.46 | $21.72 | $36.00 | |
United
| Professional | $17.48 | $22.24 | $42.54 |