| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.73 | $11.73 | $11.73 | |
Aetna
| Professional | $7.35 | $11.73 | $19.87 | |
Cigna
| Facility | $15.93 | $15.93 | $16.41 | |
Cigna
| Professional | $9.78 | $13.54 | $15.93 | |
Emblem Health
| Professional | $21.93 | $22.07 | $31.43 | |
Horizon BCBS
| Professional | $8.11 | $15.96 | $15.96 | |
United
| Professional | $9.33 | $11.97 | $22.02 |