| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.14 | $16.14 | $196.00 | |
Aetna
| Professional | $12.94 | $14.70 | $20.52 | |
AmeriHealth
| Professional | $13.98 | $13.98 | $13.98 | |
Cigna
| Facility | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $11.91 | $27.63 | $107.04 | |
Emblem Health
| Professional | $30.69 | $45.00 | $110.00 | |
Horizon BCBS
| Professional | $16.73 | $21.06 | $37.85 | |
United
| Professional | $14.57 | $23.46 | $29.64 |