| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $21.88 | $33.11 | $69.18 | |
Ambetter
| Professional | $37.15 | $40.74 | $43.65 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Emblem Health
| Professional | $54.95 | $74.13 | $107.15 | |
Horizon BCBS
| Professional | $33.11 | $38.90 | $46.77 | |
United
| Professional | $25.70 | $30.20 | $45.71 |