| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.48 | $11.48 | $11.48 | |
Aetna
| Professional | $6.90 | $11.48 | $18.79 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Emblem Health
| Professional | $24.68 | $30.79 | $41.13 | |
Horizon BCBS
| Professional | $15.63 | $15.63 | $15.63 | |
United
| Professional | $10.55 | $11.72 | $15.02 |