| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.38 | $19.38 | $19.38 | |
Aetna
| Professional | $15.73 | $18.92 | $19.38 | |
Cigna
| Facility | $19.38 | $19.44 | $25.08 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Emblem Health
| Professional | $17.44 | $19.38 | $19.38 |