| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $20.89 | $263.03 | |
Aetna
| Professional | $10.96 | $14.13 | $18.20 | |
Cigna
| Professional | $7.76 | $12.88 | $18.62 | |
Emblem Health
| Professional | $6.92 | $6.92 | $6.92 | |
Horizon BCBS
| Facility | $60.26 | $91.20 | $151.36 | |
Horizon BCBS
| Professional | $3.47 | $4.27 | $9.12 | |
United
| Facility | $10.23 | $12.59 | $16.98 | |
United
| Professional | $3.24 | $4.79 | $9.12 |