| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
Horizon BCBS
| Professional | $42.66 | $42.66 | $50.12 |