| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.97 | $52.26 | $98.51 | |
Cigna
| Facility | $73.04 | $73.04 | $95.86 | |
Cigna
| Professional | $62.08 | $73.04 | $132.38 | |
Emblem Health
| Professional | $98.27 | $98.27 | $109.63 | |
Horizon BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
United
| Facility | $5.51 | $42.78 | $65.18 | |
United
| Professional | $50.63 | $61.78 | $117.72 |