| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.52 | $33.52 | $55.48 | |
Aetna
| Professional | $27.27 | $39.06 | $55.48 | |
Cigna
| Professional | $27.13 | $53.46 | $98.60 | |
Emblem Health
| Professional | $77.28 | $77.28 | $77.28 | |
Horizon BCBS
| Professional | $37.54 | $44.16 | $84.35 | |
United
| Professional | $39.47 | $56.69 | $99.68 |