| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.96 | $28.96 | $28.96 | |
Aetna
| Professional | $17.82 | $28.96 | $44.78 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $43.67 | |
Emblem Health
| Professional | $49.75 | $59.49 | $70.84 | |
Horizon BCBS
| Professional | $52.81 | $54.08 | $54.08 | |
United
| Professional | $21.63 | $26.98 | $44.96 |