| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.42 | $26.42 | $26.42 | |
Aetna
| Professional | $16.80 | $26.42 | $44.78 | |
AmeriHealth
| Professional | $47.80 | $47.80 | $47.80 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $26.43 | $43.67 | |
Emblem Health
| Professional | $49.40 | $49.75 | $70.84 | |
Horizon BCBS
| Professional | $52.81 | $54.08 | $54.08 | |
United
| Professional | $24.28 | $26.98 | $49.64 |