| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.53 | $49.07 | $86.94 | |
AmeriHealth
| Professional | $129.94 | $129.94 | $129.94 | |
Cigna
| Facility | $65.95 | $65.95 | $87.12 | |
Cigna
| Professional | $56.07 | $65.95 | $114.38 | |
Emblem Health
| Professional | $90.23 | $90.23 | $117.90 | |
Horizon BCBS
| Professional | $69.41 | $69.41 | $69.41 | |
United
| Professional | $48.92 | $65.03 | $83.37 |