| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $28.84 | $263.03 | |
Aetna
| Professional | $15.14 | $19.05 | $23.99 | |
Cigna
| Professional | $10.23 | $12.59 | $15.14 | |
Emblem Health
| Professional | $7.94 | $7.94 | $7.94 | |
Horizon BCBS
| Facility | $60.26 | $91.20 | $151.36 | |
Horizon BCBS
| Professional | $3.89 | $4.79 | $10.23 | |
United
| Facility | $10.96 | $12.88 | $15.85 | |
United
| Professional | $4.07 | $5.62 | $10.47 |