| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.07 | $79.95 | $140.25 | |
Aetna
| Professional | $21.98 | $54.47 | $87.79 | |
Cigna
| Professional | $20.80 | $62.75 | $147.22 | |
Emblem Health
| Professional | $67.98 | $85.67 | $131.22 | |
Horizon BCBS
| Professional | $74.06 | $87.14 | $133.49 | |
United
| Professional | $52.72 | $85.98 | $144.38 |