| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $70.79 | |
Aetna
| Professional | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
Horizon BCBS
| Professional | $74.13 | $74.13 | $87.10 |