| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $47.86 | $75.86 | |
Aetna
| Professional | $39.81 | $51.29 | $67.61 | |
Ambetter
| Professional | $54.95 | $64.57 | $75.86 | |
Cigna
| Professional | $46.77 | $74.13 | $117.49 | |
Emblem Health
| Professional | $102.33 | $102.33 | $102.33 | |
Horizon BCBS
| Facility | $204.17 | $295.12 | $478.63 | |
Horizon BCBS
| Professional | $57.54 | $70.79 | $114.82 | |
United
| Facility | $194.98 | $354.81 | $426.58 | |
United
| Professional | $38.90 | $60.26 | $107.15 |