| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $38.02 | $69.18 | |
Aetna
| Professional | $30.90 | $52.48 | $199.53 | |
Ambetter
| Professional | $48.98 | $53.70 | $104.71 | |
Cigna
| Professional | $41.69 | $70.79 | $117.49 | |
Emblem Health
| Professional | $93.33 | $102.33 | $123.03 | |
Horizon BCBS
| Professional | $60.26 | $74.13 | $123.03 | |
United
| Professional | $31.62 | $56.23 | $109.65 |