| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.11 | $32.11 | $32.11 | |
Aetna
| Professional | $19.30 | $32.11 | $54.43 | |
Cigna
| Facility | $39.47 | $39.47 | $48.77 | |
Cigna
| Professional | $33.56 | $33.56 | $48.77 | |
Emblem Health
| Professional | $60.04 | $60.47 | $86.11 | |
Horizon BCBS
| Professional | $35.99 | $43.72 | $43.72 | |
United
| Professional | $26.29 | $32.79 | $60.04 |