| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.12 | $38.07 | $59.24 | |
Aetna
| Professional | $31.37 | $49.16 | $71.31 | |
Ambetter
| Professional | $60.15 | $60.15 | $60.15 | |
AmeriHealth
| Professional | $62.54 | $84.21 | $172.11 | |
Cigna
| Professional | $31.96 | $66.70 | $123.89 | |
Emblem Health
| Professional | $73.55 | $85.68 | $95.15 | |
Horizon BCBS
| Professional | $60.81 | $74.05 | $109.81 | |
United
| Professional | $37.65 | $73.20 | $124.44 |