| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.60 | $18.60 | $18.60 | |
Aetna
| Professional | $11.17 | $18.60 | $30.44 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Emblem Health
| Professional | $39.97 | $49.87 | $66.62 | |
Horizon BCBS
| Professional | $25.33 | $25.33 | $25.33 | |
United
| Professional | $17.10 | $19.00 | $28.61 |