| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $19.00 | $29.16 | |
Aetna
| Professional | $15.73 | $19.44 | $24.41 | |
Cigna
| Professional | $12.00 | $13.00 | $15.50 | |
Emblem Health
| Professional | $7.73 | $40.00 | $45.00 | |
Horizon BCBS
| Facility | $60.37 | $72.42 | $72.42 | |
Horizon BCBS
| Professional | $3.83 | $4.70 | $7.53 | |
United
| Professional | $3.81 | $5.96 | $11.36 |