| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.44 | $52.34 | $54.07 | |
Aetna
| Professional | $39.71 | $47.12 | $59.63 | |
Cigna
| Professional | $39.07 | $72.34 | $113.42 | |
Emblem Health
| Professional | $87.28 | $87.28 | $87.28 | |
Horizon BCBS
| Professional | $57.45 | $67.59 | $99.75 | |
United
| Professional | $47.35 | $69.52 | $119.06 |