| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.05 | $20.05 | $20.05 | |
Aetna
| Professional | $12.05 | $20.05 | $32.81 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
Emblem Health
| Professional | $43.09 | $53.76 | $71.81 | |
Horizon BCBS
| Professional | $27.30 | $27.30 | $27.30 | |
United
| Professional | $18.42 | $20.47 | $26.22 |