| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.71 | $17.71 | $17.71 | |
Aetna
| Professional | $11.26 | $17.71 | $30.01 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $17.71 | $29.26 | |
Emblem Health
| Professional | $33.11 | $33.34 | $47.47 | |
Horizon BCBS
| Professional | $31.73 | $35.39 | $36.24 | |
United
| Professional | $16.27 | $18.07 | $30.46 |