| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $95.50 | $95.50 | |
Aetna
| Professional | $66.07 | $93.33 | $125.89 | |
Cigna
| Professional | $154.88 | $154.88 | $186.21 | |
Emblem Health
| Professional | $151.36 | $186.21 | $245.47 | |
Horizon BCBS
| Professional | $95.50 | $112.20 | $208.93 | |
United
| Professional | $154.88 | $154.88 | $275.42 |