| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.67 | $21.67 | $21.67 | |
Aetna
| Professional | $13.02 | $21.67 | $32.35 | |
Cigna
| Facility | $22.51 | $26.66 | $26.66 | |
Cigna
| Professional | $22.66 | $22.66 | $31.36 | |
Emblem Health
| Professional | $40.53 | $40.81 | $58.11 | |
Horizon BCBS
| Professional | $15.00 | $15.00 | $29.51 | |
United
| Professional | $17.73 | $22.13 | $44.36 |