| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.23 | $19.23 | $19.23 | |
Aetna
| Professional | $12.06 | $19.23 | $32.61 | |
Cigna
| Facility | $26.07 | $26.07 | $26.85 | |
Cigna
| Professional | $16.07 | $22.16 | $26.07 | |
Emblem Health
| Professional | $35.97 | $36.22 | $51.59 | |
Horizon BCBS
| Professional | $16.28 | $16.28 | $26.20 | |
United
| Professional | $15.17 | $19.64 | $32.54 |