| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.63 | $16.89 | $28.87 | |
Aetna
| Professional | $13.58 | $16.09 | $21.57 | |
AmeriHealth
| Professional | $23.04 | $23.04 | $23.04 | |
Cigna
| Facility | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $13.16 | $29.81 | $93.76 | |
Emblem Health
| Professional | $32.11 | $45.00 | $110.00 | |
Horizon BCBS
| Professional | $17.51 | $20.60 | $39.61 | |
United
| Professional | $15.26 | $23.23 | $29.98 |