| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $14.00 | $21.62 | |
Aetna
| Professional | $13.72 | $14.51 | $19.12 | |
Cigna
| Professional | $12.00 | $15.97 | $21.43 | |
Emblem Health
| Professional | $40.00 | $45.00 | $60.90 | |
Horizon BCBS
| Facility | $216.59 | $216.59 | $224.89 | |
Horizon BCBS
| Professional | $14.00 | $34.92 | $58.41 | |
United
| Professional | $30.01 | $43.63 | $84.98 |