| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.10 | $13.10 | $13.10 | |
Aetna
| Professional | $7.87 | $13.10 | $21.42 | |
Cigna
| Professional | $10.93 | $12.04 | $12.04 | |
Emblem Health
| Professional | $28.13 | $35.09 | $46.88 | |
Horizon BCBS
| Professional | $17.82 | $17.82 | $17.82 | |
United
| Professional | $11.36 | $13.37 | $20.65 |