| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
AmeriHealth
| Professional | $35.75 | $35.75 | $35.75 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
Emblem Health
| Professional | $56.09 | $69.98 | $93.49 | |
Horizon BCBS
| Professional | $32.72 | $41.49 | $41.49 | |
United
| Professional | $30.08 | $31.12 | $46.43 |