| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.08 | $11.08 | $11.08 | |
Aetna
| Professional | $6.66 | $11.08 | $18.14 | |
Cigna
| Professional | $11.59 | $11.59 | $11.59 | |
Emblem Health
| Professional | $22.70 | $29.74 | $39.72 | |
Horizon BCBS
| Professional | $15.10 | $15.10 | $15.10 | |
United
| Professional | $10.19 | $11.33 | $14.93 |