| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.27 | $48.27 | $208.50 | |
Aetna
| Professional | $41.92 | $46.85 | $57.25 | |
Cigna
| Professional | $40.61 | $70.12 | $105.78 | |
Emblem Health
| Professional | $76.94 | $76.94 | $76.94 | |
Horizon BCBS
| Professional | $52.32 | $61.55 | $91.99 | |
United
| Professional | $32.21 | $55.00 | $101.50 |