| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.10 | $133.10 | $133.10 | |
Aetna
| Professional | $13.31 | $13.31 | $13.31 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Emblem Health
| Professional | $102.00 | $102.00 | $120.00 | |
Horizon BCBS
| Professional | $99.00 | $99.00 | $99.00 | |
United
| Professional | $63.21 | $63.21 | $63.21 |