| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.35 | $14.35 | $129.13 | |
Aetna
| Professional | $8.61 | $14.35 | $23.49 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Emblem Health
| Professional | $30.85 | $38.49 | $51.42 | |
Horizon BCBS
| Professional | $19.54 | $19.54 | $19.54 | |
United
| Professional | $13.19 | $14.65 | $19.32 |