| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.81 | $26.81 | $26.81 | |
Aetna
| Professional | $16.11 | $26.81 | $43.88 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Emblem Health
| Professional | $57.63 | $71.91 | $96.06 | |
Horizon BCBS
| Professional | $36.51 | $36.51 | $36.51 | |
United
| Professional | $24.65 | $27.38 | $42.27 |