| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.62 | $13.62 | $13.62 | |
Aetna
| Professional | $8.82 | $13.62 | $23.56 | |
Cigna
| Professional | $12.25 | $12.25 | $33.38 | |
Emblem Health
| Professional | $25.47 | $25.64 | $36.51 | |
Horizon BCBS
| Professional | $14.10 | $18.54 | $18.54 | |
United
| Professional | $11.15 | $13.91 | $25.08 |