| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.09 | $20.09 | $20.09 | |
Aetna
| Professional | $14.30 | $20.09 | $36.71 | |
Cigna
| Facility | $29.06 | $29.06 | $29.06 | |
Cigna
| Professional | $24.70 | $24.70 | $36.34 | |
Emblem Health
| Professional | $39.13 | $39.40 | $53.87 | |
Horizon BCBS
| Professional | $27.35 | $27.35 | $27.35 | |
United
| Professional | $16.45 | $20.97 | $37.74 |