| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.92 | $69.42 | $116.19 | |
Cigna
| Facility | $81.62 | $81.62 | $109.27 | |
Cigna
| Professional | $69.38 | $81.62 | $147.75 | |
Emblem Health
| Professional | $103.21 | $103.21 | $166.76 | |
Horizon BCBS
| Professional | $85.20 | $85.20 | $85.20 | |
United
| Professional | $63.34 | $88.22 | $143.72 |