| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.55 | $15.55 | $15.55 | |
Aetna
| Professional | $9.35 | $15.55 | $25.47 | |
Cigna
| Professional | $16.27 | $16.27 | $16.27 | |
Emblem Health
| Professional | $31.86 | $41.74 | $55.76 | |
Horizon BCBS
| Professional | $21.19 | $21.19 | $21.19 | |
United
| Professional | $14.30 | $15.89 | $20.39 |