| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.96 | $31.96 | $150.00 | |
Aetna
| Professional | $30.08 | $31.21 | $31.96 | |
Cigna
| Facility | $27.17 | $31.96 | $35.15 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
Emblem Health
| Professional | $31.96 | $31.96 | $31.96 | |
Horizon BCBS
| Professional | $15.39 | $15.39 | $15.39 | |
United
| Professional | $37.60 | $37.60 | $39.47 |