| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.15 | $30.28 | $43.16 | |
Aetna
| Professional | $23.91 | $36.46 | $51.84 | |
Ambetter
| Professional | $51.77 | $56.69 | $58.70 | |
Cigna
| Professional | $23.11 | $52.53 | $92.55 | |
Emblem Health
| Professional | $69.45 | $80.42 | $89.84 | |
Horizon BCBS
| Facility | $58.44 | $69.76 | $147.11 | |
Horizon BCBS
| Professional | $44.32 | $53.95 | $79.45 | |
United
| Professional | $39.20 | $60.55 | $93.41 |