| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $15.85 | $15.85 | $15.85 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
United
| Professional | $22.91 | $22.91 | $25.12 |