| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.48 | $25.48 | $25.48 | |
Aetna
| Professional | $15.98 | $25.48 | $43.20 | |
Cigna
| Facility | $34.45 | $34.45 | $35.47 | |
Cigna
| Professional | $21.28 | $29.28 | $35.47 | |
Emblem Health
| Professional | $47.64 | $47.99 | $68.33 | |
Horizon BCBS
| Professional | $28.24 | $34.70 | $34.70 | |
United
| Professional | $20.27 | $26.02 | $43.84 |