| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $30.20 | $63.10 | |
Aetna
| Professional | $22.91 | $36.31 | $63.10 | |
Ambetter
| Professional | $40.74 | $48.98 | $58.88 | |
Ambetter
| Professional | 25 | $36.31 | $36.31 | $36.31 |
Cigna
| Professional | $31.62 | $56.23 | $93.33 | |
Emblem Health
| Professional | $87.10 | $95.50 | $114.82 | |
Horizon BCBS
| Facility | $60.26 | $91.20 | $151.36 | |
Horizon BCBS
| Professional | $44.67 | $53.70 | $89.13 | |
United
| Professional | $28.18 | $44.67 | $79.43 |