| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.98 | $230.56 | $518.21 | |
Aetna
| Professional | $21.15 | $33.47 | $75.70 | |
AmeriHealth
| Facility | $329.00 | $329.00 | $329.00 | |
Cigna
| Professional | $13.63 | $35.88 | $84.66 | |
Emblem Health
| Professional | $43.46 | $58.91 | $64.83 | |
Horizon BCBS
| Facility | $465.27 | $483.09 | $921.30 | |
Horizon BCBS
| Professional | $33.29 | $45.58 | $71.84 | |
United
| Professional | $26.59 | $37.02 | $53.71 |