| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.58 | $145.58 | $145.58 | |
Aetna
| Professional | $127.01 | $210.13 | $379.76 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Emblem Health
| Professional | $45.45 | $45.45 | $45.45 | |
United
| Professional | $17.26 | $24.26 | $32.83 |