| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $12.15 | $18.39 | $32.57 | |
Cigna
| Facility | $19.37 | $19.37 | $19.95 | |
Cigna
| Professional | $16.19 | $16.46 | $19.95 | |
Emblem Health
| Professional | $36.25 | $36.51 | $49.32 | |
Horizon BCBS
| Professional | $15.57 | $15.57 | $25.05 | |
United
| Professional | $15.06 | $18.79 | $34.57 |