| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.56 | $41.66 | $78.31 | |
Cigna
| Facility | $44.10 | $44.10 | $44.10 | |
Cigna
| Professional | $37.49 | $44.10 | $105.00 | |
Emblem Health
| Professional | $74.92 | $74.92 | $92.60 | |
Horizon BCBS
| Professional | $58.02 | $58.02 | $58.02 | |
United
| Professional | $41.14 | $50.18 | $102.86 |