| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $2.00 | $3.98 | $5.01 | |
Cigna
| Professional | $2.95 | $2.95 | $2.95 | |
Emblem Health
| Professional | $3.16 | $3.16 | $3.16 | |
Horizon BCBS
| Professional | $20.42 | $20.42 | $23.99 | |
United
| Professional | $2.69 | $2.69 | $2.69 |