| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.39 | $16.39 | $16.39 | |
Aetna
| Professional | $10.82 | $16.39 | $26.29 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $18.04 | $27.42 | |
Emblem Health
| Professional | $31.13 | $31.35 | $43.92 | |
Horizon BCBS
| Professional | $22.30 | $22.30 | $22.30 | |
United
| Professional | $13.41 | $16.73 | $30.78 |