| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $14.13 | $26.92 | $41.69 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $24.55 | $24.55 | $28.84 | |
Emblem Health
| Professional | $28.18 | $45.71 | $63.10 | |
Horizon BCBS
| Professional | $27.54 | $27.54 | $27.54 | |
United
| Facility | $15.49 | $22.91 | $41.69 | |
United
| Professional | $18.62 | $21.88 | $33.88 |