| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $23.99 | $33.88 | $89.13 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Emblem Health
| Professional | $234.42 | $234.42 | $239.88 | |
United
| Professional | $19.95 | $19.95 | $19.95 |