| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $38.90 | $58.88 | |
Cigna
| Facility | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $40.74 | $47.86 | $83.18 | |
Emblem Health
| Professional | $48.98 | $69.18 | $83.18 | |
Horizon BCBS
| Professional | $51.29 | $51.29 | $61.66 | |
United
| Facility | $4.27 | $33.88 | $74.13 | |
United
| Professional | $33.88 | $44.67 | $77.62 |