| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.08 | $59.69 | $119.50 | |
Cigna
| Facility | $57.76 | $57.76 | $57.76 | |
Cigna
| Professional | $49.10 | $57.76 | $154.50 | |
Emblem Health
| Professional | $126.56 | $126.56 | $143.41 | |
Horizon BCBS
| Professional | $93.36 | $93.36 | $93.36 | |
United
| Professional | $63.02 | $72.08 | $91.79 |