| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.25 | $10.25 | $10.25 | |
Aetna
| Professional | $6.43 | $10.25 | $17.37 | |
Cigna
| Facility | $13.91 | $13.91 | $14.33 | |
Cigna
| Professional | $8.56 | $11.82 | $14.33 | |
Emblem Health
| Professional | $19.17 | $19.30 | $27.48 | |
Horizon BCBS
| Professional | $13.96 | $13.96 | $13.96 | |
United
| Professional | $8.16 | $10.47 | $16.26 |