| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $69.18 | $102.33 | |
Aetna
| Professional | $56.23 | $66.07 | $151.36 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $61.66 | $100.00 | $165.96 | |
Emblem Health
| Professional | $70.79 | $87.10 | $134.90 | |
Horizon BCBS
| Professional | $70.79 | $87.10 | $151.36 | |
United
| Professional | $51.29 | $79.43 | $138.04 |