| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $7.08 | $12.02 | $15.85 | |
Cigna
| Professional | $13.49 | $13.49 | $13.49 | |
Emblem Health
| Professional | $26.92 | $26.92 | $29.51 | |
Horizon BCBS
| Professional | $13.49 | $15.85 | $26.30 | |
United
| Professional | $10.00 | $12.02 | $22.39 |