| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.80 | $16.80 | $16.80 | |
Aetna
| Professional | $10.54 | $16.80 | $28.48 | |
Cigna
| Facility | $20.66 | $20.66 | $20.66 | |
Cigna
| Professional | $17.55 | $17.55 | $24.31 | |
Emblem Health
| Professional | $31.42 | $31.65 | $45.06 | |
Horizon BCBS
| Professional | $22.88 | $22.88 | $22.88 | |
United
| Professional | $13.25 | $17.16 | $31.57 |