| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $3.47 | |
Cigna
| Professional | $6.76 | $6.76 | $6.76 | |
Emblem Health
| Professional | $21.88 | $28.84 | $42.66 | |
Horizon BCBS
| Professional | $18.62 | $18.62 | $18.62 | |
United
| Professional | $12.02 | $14.13 | $20.89 |