| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.37 | $111.30 | $312.80 | |
Aetna
| Professional | $14.40 | $26.43 | $46.91 | |
Cigna
| Facility | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $29.45 | $67.08 | $113.01 | |
Emblem Health
| Professional | $45.00 | $86.00 | $110.00 | |
Horizon BCBS
| Professional | $36.61 | $43.07 | $45.86 | |
United
| Professional | $25.88 | $46.52 | $57.33 |