| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.83 | $72.83 | $90.60 | |
Aetna
| Professional | $59.27 | $69.11 | $83.33 | |
Cigna
| Professional | $57.34 | $98.58 | $152.26 | |
Emblem Health
| Professional | $124.12 | $124.12 | $124.12 | |
Horizon BCBS
| Professional | $77.38 | $91.04 | $135.88 | |
United
| Professional | $61.14 | $80.33 | $155.77 |