| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $676.08 | $1,000.00 | |
Aetna
| Professional | $12.02 | $18.20 | $26.92 | |
Cigna
| Professional | $15.14 | $15.14 | $15.14 | |
Emblem Health
| Professional | $26.92 | $36.31 | $52.48 | |
Horizon BCBS
| Professional | $19.50 | $19.50 | $19.50 | |
United
| Professional | $12.59 | $14.79 | $21.88 |