| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $75.86 | $95.50 | |
Aetna
| Professional | $42.66 | $53.70 | $70.79 | |
Cigna
| Professional | $50.12 | $79.43 | $131.83 | |
Emblem Health
| Professional | $107.15 | $107.15 | $107.15 | |
Horizon BCBS
| Professional | $64.57 | $77.62 | $128.82 | |
United
| Facility | $83.18 | $83.18 | $83.18 | |
United
| Professional | $40.74 | $63.10 | $114.82 |