| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $28.84 | $263.03 | |
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
Cigna
| Professional | $19.05 | $23.99 | $64.57 | |
Emblem Health
| Professional | $15.49 | $15.49 | $15.49 | |
Horizon BCBS
| Facility | $60.26 | $91.20 | $151.36 | |
Horizon BCBS
| Professional | $15.14 | $17.78 | $38.90 | |
United
| Facility | $7.76 | $9.12 | $11.48 | |
United
| Professional | $8.32 | $17.38 | $38.90 |