| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $39.81 | $100.00 | |
Cigna
| Facility | $31.62 | $31.62 | $31.62 | |
Cigna
| Professional | $26.92 | $31.62 | $60.26 | |
Emblem Health
| Professional | $30.20 | $42.66 | $53.70 | |
Horizon BCBS
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Facility | $2.95 | $20.42 | $60.26 | |
United
| Professional | $20.42 | $26.92 | $50.12 |