| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.63 | $46.63 | $46.63 | |
Aetna
| Professional | $16.29 | $41.30 | $62.58 | |
AmeriHealth
| Facility | $180.00 | $180.00 | $180.00 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Emblem Health
| Professional | $38,249.62 | $38,249.62 | $38,249.62 | |
Horizon BCBS
| Facility | $63.75 | $80.27 | $165.82 |