| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.82 | $27.82 | $27.82 | |
Aetna
| Professional | $17.45 | $27.82 | $40.10 | |
Cigna
| Professional | $23.24 | $23.24 | $66.00 | |
Emblem Health
| Professional | $52.04 | $52.41 | $74.63 | |
Horizon BCBS
| Professional | $37.90 | $37.90 | $37.90 | |
United
| Professional | $24.16 | $28.42 | $44.29 |