| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $28.57 | |
Aetna
| Professional | $17.44 | $17.86 | $44.18 | |
Cigna
| Professional | $15.25 | $15.25 | $18.11 | |
Emblem Health
| Professional | $17.86 | $17.86 | $20.14 | |
Horizon BCBS
| Professional | $20.13 | $20.13 | $20.13 | |
United
| Professional | $21.01 | $21.01 | $22.06 |