| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.30 | $19.30 | $19.30 | |
Aetna
| Professional | $14.08 | $19.30 | $37.46 | |
Cigna
| Facility | $28.50 | $28.50 | $28.50 | |
Cigna
| Professional | $20.81 | $20.81 | $31.98 | |
Emblem Health
| Professional | $39.76 | $41.64 | $59.29 | |
Horizon BCBS
| Professional | $44.25 | $45.26 | $45.26 | |
United
| Professional | $18.10 | $22.39 | $40.36 |