| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $16.98 | $16.98 | $18.20 | |
Cigna
| Facility | $15.49 | $18.20 | $20.42 | |
Cigna
| Professional | $18.20 | $18.20 | $18.20 | |
Emblem Health
| Professional | $18.20 | $21.88 | $21.88 |