| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.65 | $40.65 | $40.65 | |
Aetna
| Professional | $31.52 | $40.65 | $86.71 | |
Cigna
| Professional | $41.48 | $57.08 | $131.43 | |
Emblem Health
| Professional | $79.65 | $107.97 | $118.42 | |
Horizon BCBS
| Professional | $51.07 | $63.16 | $94.06 | |
United
| Professional | $31.20 | $59.47 | $118.31 |