| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.36 | $54.24 | $105.47 | |
Cigna
| Facility | $78.94 | $78.94 | $78.94 | |
Cigna
| Professional | $67.09 | $67.09 | $186.09 | |
Emblem Health
| Professional | $116.57 | $116.57 | $117.42 | |
Horizon BCBS
| Professional | $83.32 | $83.32 | $83.32 | |
United
| Professional | $51.41 | $62.49 | $82.13 |