| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $42.66 | $67.61 | |
Ambetter
| Professional | $47.86 | $47.86 | $47.86 | |
Cigna
| Facility | $52.48 | $52.48 | $57.54 | |
Cigna
| Professional | $39.81 | $48.98 | $102.33 | |
Emblem Health
| Professional | $50.12 | $50.12 | $63.10 | |
Horizon BCBS
| Professional | $45.71 | $53.70 | $100.00 | |
United
| Professional | $35.48 | $53.70 | $95.50 |