| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.99 | $20.99 | $20.99 | |
Aetna
| Professional | $13.16 | $20.99 | $35.57 | |
Cigna
| Facility | $25.81 | $25.81 | $25.81 | |
Cigna
| Professional | $21.94 | $21.94 | $30.36 | |
Emblem Health
| Professional | $39.24 | $39.52 | $56.28 | |
Horizon BCBS
| Professional | $28.58 | $28.58 | $28.58 | |
United
| Professional | $16.55 | $21.43 | $39.44 |