| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $14.92 | $17.95 | $18.39 | |
Cigna
| Facility | $15.63 | $18.39 | $20.23 | |
Cigna
| Professional | $18.39 | $18.39 | $18.39 | |
Emblem Health
| Professional | $18.39 | $21.63 | $21.63 |