| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.52 | $68.92 | $113.55 | |
Cigna
| Facility | $81.17 | $81.17 | $81.17 | |
Cigna
| Professional | $68.98 | $81.17 | $144.38 | |
Emblem Health
| Professional | $104.25 | $104.25 | $165.58 | |
Horizon BCBS
| Professional | $85.54 | $85.54 | $85.54 | |
United
| Professional | $62.95 | $80.11 | $142.84 |