| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.12 | $24.98 | $46.51 | |
Cigna
| Facility | $34.40 | $34.40 | $34.40 | |
Cigna
| Professional | $29.25 | $34.40 | $61.88 | |
Emblem Health
| Professional | $43.90 | $43.90 | $60.01 | |
Horizon BCBS
| Professional | $34.26 | $34.26 | $34.26 | |
United
| Facility | $2.66 | $21.92 | $35.79 | |
United
| Professional | $24.49 | $29.85 | $55.51 |