| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $25.70 | |
Aetna
| Professional | $16.98 | $33.11 | $46.77 | |
Ambetter
| Professional | $28.18 | $53.70 | $54.95 | |
AmeriHealth
| Professional | $47.86 | $47.86 | $47.86 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $26.30 | $26.30 | $36.31 | |
Emblem Health
| Professional | $35.48 | $57.54 | $79.43 | |
Horizon BCBS
| Professional | $53.70 | $53.70 | $53.70 | |
United
| Facility | $26.92 | $40.74 | $54.95 | |
United
| Professional | $24.55 | $28.18 | $44.67 |