| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.98 | $5.01 | $5.01 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $0.35 | $0.35 | $0.35 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
United
| Professional | $4.79 | $4.79 | $5.37 |