| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.12 | $21.13 | $850.00 | |
Aetna
| Professional | $12.70 | $18.82 | $32.76 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
Emblem Health
| Professional | $43.27 | $56.68 | $75.72 | |
Horizon BCBS
| Professional | $20.09 | $20.09 | $20.09 | |
United
| Professional | $15.00 | $15.00 | $16.71 |