| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $40.74 | |
Aetna
| Professional | $30.90 | $43.65 | $61.66 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Emblem Health
| Professional | $77.62 | $104.71 | $151.36 | |
Horizon BCBS
| Professional | $46.77 | $54.95 | $66.07 | |
United
| Professional | $36.31 | $42.66 | $64.57 |