| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $17.78 | $27.84 | |
AmeriHealth
| Professional | $8.80 | $8.80 | $8.80 | |
Cigna
| Professional | $25.26 | $66.00 | $108.10 | |
Emblem Health
| Professional | $45.00 | $55.00 | $94.00 | |
Horizon BCBS
| Professional | $10.51 | $22.93 | $30.29 | |
United
| Professional | $18.07 | $27.03 | $36.09 |