| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.61 | $49.47 | $83.48 | |
AmeriHealth
| Professional | $138.13 | $138.13 | $138.13 | |
Cigna
| Facility | $64.23 | $64.23 | $79.36 | |
Cigna
| Professional | $54.60 | $54.60 | $138.75 | |
Emblem Health
| Professional | $80.17 | $80.17 | $100.21 | |
Horizon BCBS
| Professional | $62.34 | $62.34 | $62.34 | |
United
| Professional | $43.77 | $54.55 | $99.23 |