| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.90 | $31.90 | $31.90 | |
Aetna
| Professional | $19.17 | $25.41 | $37.67 | |
Cigna
| Professional | $28.69 | $28.69 | $28.69 | |
Emblem Health
| Professional | $50.17 | $62.59 | $83.62 | |
Horizon BCBS
| Professional | $34.29 | $34.29 | $34.29 | |
United
| Professional | $23.16 | $28.23 | $41.98 |