| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.35 | $31.35 | $31.35 | |
Aetna
| Professional | $31.35 | $49.93 | $78.20 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $55.25 | $55.25 | $65.00 | |
Emblem Health
| Professional | $76.01 | $99.14 | $142.93 | |
Horizon BCBS
| Professional | $60.74 | $60.74 | $60.74 | |
United
| Professional | $43.44 | $55.52 | $82.63 |