| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $79.43 | $141.25 | |
Aetna
| Professional | $21.88 | $57.54 | $120.23 | |
Ambetter
| Professional | $28.18 | $28.18 | $28.18 | |
Cigna
| Professional | $21.88 | $63.10 | $144.54 | |
Emblem Health
| Professional | $72.44 | $91.20 | $141.25 | |
Horizon BCBS
| Professional | $74.13 | $87.10 | $186.21 | |
United
| Professional | $19.05 | $46.77 | $114.82 |